1.800.654.9845 www.alphasource.com 6619 W. Calumet Rd. Milwaukee, WI 53223 ML#189 Rev.B FREE SENSOR OF CHOICE Frequent Buyer Program Alpha Source® and Maxtec are pleased to announce the continuation of our successful Frequent Buyer Program. Oxygen sensors, similar to batteries, generally contain small amounts of lead. The Frequent Buyer Program allows Maxtec to reward our loyal customers for continued use while helping to dispose of sensors in an environment-friendly way. To Participate in our Frequent Buyer Program: 1. Print this page and complete all ﬁelds below the dotted line. Your completed form will need to be returned along with your used sensors in order to qualify for the program. 2. Once you have gathered 12 used Maxtec oxygen sensors, place them in a sealable bag. 3. Include the bag of used sensors along with your completed Frequent Buyer Program form in a box or padded envelope and ship it back to Alpha Source at: Alpha Source Frequent Buyer Program 6619 W Calumet Road Milwaukee, WI 53223 4. Upon receipt of your used sensors, we will send back to you a FREE SENSOR of your choice. *(Please be sure to indicate which sensor you would like to receive on the form below). For a complete list of sensors, visit our website at www.alphasource.com or call us directly at 1.800.654.9845. . *Free sensor valued less than or equal to $200. Program terms subject to change or termination without notice. Program not available for international customers. Name ______________________________________ Company/Hospital _______________________ Date ________________ Street Address ________________________________________ City _______________________ State ____ Zip __________ Phone (_______)_______-___________ Fax (_______)_______-___________ Email ____________________________________ Please mark the sensor you would like to receive free of charge: Max-1 (R113P90) Max-2 (R107P20) Max-3 (R109P11) Max-7 (R109P10) Max-8 (R107P22) Max-9 (R114P80) Max-10 (R112P10) Max-11 (R113P10) Max-11i (R113P06) Max-12 (R109P45) Max-12A (R109P48) Max-13 (R115P10) Max-13-250 (R125P07) Max-14 (R116P80) Max-16 (R114P70) Max-16HT (R114P73) Max-17 (R116P10) Max-18 (R116P40) Max-19 (R116P60) Max-23 (R109P07) Max-43 (R109P08) Max-47 (R112P16) Max-250 (R125P01-002) Max-250E (R125P03-002) Max-250+ (R125P02-011) Other

Frequent Buyer Program - Alpha Source, Inc. Frequent Buyer 09.pdf · Buyer Program allows Maxtec to reward our loyal customers for continued use while helping to dispose of sensors

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Page 1: Frequent Buyer Program - Alpha Source, Inc. Frequent Buyer 09.pdf · Buyer Program allows Maxtec to reward our loyal customers for continued use while helping to dispose of sensors

1.800.654.9845 www.alphasource.com6619 W. Calumet Rd.Milwaukee, WI 53223

ML#189 Rev.B

FREESENSOR

OF CHOICE

Frequent Buyer ProgramAlpha Source® and Maxtec are pleased to announce the continuation of our successful Frequent Buyer Program.

Oxygen sensors, similar to batteries, generally contain small amounts of lead. The Frequent

Buyer Program allows Maxtec to reward our loyal customers for continued use while

helping to dispose of sensors in an environment-friendly way.

To Participate in our Frequent Buyer Program:1. Print this page and complete all fields below the dotted line. Your completed form

will need to be returned along with your used sensors in order to qualify for the program.

2. Once you have gathered 12 used Maxtec oxygen sensors, place them in a sealable bag.

3. Include the bag of used sensors along with your completed Frequent Buyer Program form in a box or padded envelope and ship it back to Alpha Source at:

Alpha Source Frequent Buyer Program 6619 W Calumet Road Milwaukee, WI 53223

4. Upon receipt of your used sensors, we will send back to you a FREE SENSOR of your choice. *(Please be sure to indicate which sensor you would like to receive on the form below). For a complete list of sensors, visit our website at www.alphasource.com or call us directly at 1.800.654.9845. .

*Free sensor valued less than or equal to $200. Program terms subject to change or termination without notice. Program not available for international customers.

Name ______________________________________ Company/Hospital _______________________ Date ________________

Street Address ________________________________________ City _______________________ State ____ Zip __________

Phone (_______)_______-___________ Fax (_______)_______-___________ Email ____________________________________

Please mark the sensor you would like to receive free of charge:

� Max-1 (R113P90) � Max-2 (R107P20) � Max-3 (R109P11) � Max-7 (R109P10)

� Max-8 (R107P22) � Max-9 (R114P80) � Max-10 (R112P10) � Max-11 (R113P10)

� Max-11i (R113P06) � Max-12 (R109P45) � Max-12A (R109P48) � Max-13 (R115P10)

� Max-13-250 (R125P07) � Max-14 (R116P80) � Max-16 (R114P70) � Max-16HT (R114P73) � Max-17 (R116P10) � Max-18 (R116P40) � Max-19 (R116P60) � Max-23 (R109P07)

� Max-43 (R109P08) � Max-47 (R112P16) � Max-250 (R125P01-002) � Max-250E (R125P03-002)

� Max-250+ (R125P02-011) � Other