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CUSTOMER INFORMATION
FIRST NAME LAST NAME
ADDRESS
CITY STATE ZIP
EMAIL ADDRESSPHONE
$14When you purchase a
Black+Decker Hand Mixer MX3200B (780-5066)Black+Decker Easy Storage Hand Mixer MX400B (780-4705)
Cooks 12-Cup Programmable Coffee Maker (780-5015, 780-5141, 780-5143)Cooks 16-Cup Rice Cooker (780-5071)
Cooks 5-in-1 Power Blender (780-5142, 780-5503)Cooks 10" x 19" Non-Stick Griddle (780-3149)
OFFER VALID: POSTMARK BY:
11/20/20-12/01/20 12/31/20
LIMIT:
JCPenney Visa® Prepaid Card
INSTRUCTIONSTo receive your rebate by mail, please submit the following:
1. COMPLETED REBATE FORM2. ORIGINAL UPC
Send original UPC (or COOKS barcode forCOOKS branded products) from product package.Copies will not be accepted.
3. ORIGINAL RECEIPTSend your original cash register receipt, dated on orbetween the offer’s valid dates. If the item is purchasedonline, please submit a copy of your emailed receipt.Note: purchase date must be visible on the submitted receipt
4. M A I L T OJCPenney RebatesOffer #20-26453PO Box 540007El Paso,TX 88554-0007
WHERE’S MY UPC?MUST BE 12 NUMERICAL
DIGITS.
rebate
rebate
reward. For
90 days repaid
will void
within Visa
destroyed, lfillment
due. Fraudulent receipt of inquiries,
Rebate Customer Service: Rebate Tracksite: www.jcpenneyrebates.com855-263-0173
1 per household
TERMS AND CONDITIONS: Purchase must be made between 11/20/20-12/01/20 and postmarked by 12/31/20. Limit 1 rebate per household. Offer valid at JCPenney or jcpenney.com. Offer not valid with any other rebate or coupon. Offer void if correct proof of purchase, this official form and complete name, address, and zip code are not included. Offer rights are not assignable or transferable and void where prohibited. Offer good only in US and US Territories. Rebate check expires if not cashed within 90 days of the check date, after which time JCPenney will have no further obligation to you. Rewards totaling $10 or more will be issued in the form of a JCPenney Visa Prepaid Card. Your card is issued by MetaBank , Member FDIC, pursuant to a license from Visa U.S.A. Inc. Cards can be used at any merchants that accept Visa debit cards. The Visa prepaid card is not redeemable for cash or usable at any ATM. Terms and Conditions apply to the card. Unless prohibited by law, fees apply and will reduce your available card balance. JCPenney reserves the right to substitute a check of equal value in lieu of a Visa prepaid card at its discretion. JCPenney is not responsible for lost, destroyed, misdirected, postage due, delayed mail or for any information provided by you to JCPenney. Merchandise returned prior to rebate fulfillment will void rebate submission. Consumer is responsible for any state, local or federal sales tax due and will not be reimbursed or calculated as part of rebate funds due. Fraudulent submissions could result in federal prosecution under mail fraud states. Allow 6-8 weeks for receipt of reward. For rebate inquiries, call 855-263-0173 or visit www.jcpenneyrebates.com, where you can also check your rebate status.