Redemption FormClaim Your $100 VISA®* Gift Card1. Simply order and have your monitored ADT Home Security System installed.

2. Complete and mail this redemption form and a copy of your ADT Service Contract (page 1) postmarked within 30 days of your system being installed.

3. Allow 6 to 8 weeks for delivery of your gift card.

ADT Account Number

Name

Installation Address

City, State, Zip

Phone Number

If your mailing address is di�erent from your install address, please note below:

Mailing Address

City, State, Zip

Mail to:

Authorized ADT Dealer Attn: Redemption Coordinator PO Box 58995 Seattle, WA 98138

* Your Visa gift card is provided by your Authorized ADT Dealer and is not sponsored directly by ADT Security Systems. Limit one redemption gift card per household. A 36 month monitoring agreement with ADT is required. Redemption forms will not be honored for customers who cancel their ADT monitoring agreement within the �rst 30 days of being installed. Your redemption form must be postmarked within 30 days of installation. Upon validation, your gift card will be mailed to the name listed on your monitoring agreement. Please allow 6 to 8 weeks for delivery. We reserve the right to refuse or reject any redemption claims that are deemed fraudulent. Visa gift cards issued by MetaBank™, Member FDIC, pursuant to a license from Visa U.S.A. Inc. Neither MetaBank nor Visa is a sponsor, endorser or participant in this promotion. Monthly inactivity fee of $2.95 after 12 consecutive months of inactivity. Lost/stolen replacement card fee of $5.00. See the cardholder agreement for more details.

Gift Card