2/20/13 Staples.com

https://www.stapleseasyrebates.com/promocenter/staples/select_form.html 1/2

Staples Rebates - Print and Mail-In FormSteps: Find Rebate Offers & Mail-In Forms > Search Results > Print and Mail-In Form

Rebate Processing Instructions

To complete your rebate request, please follow the mailing instructions below. Note that each rebate must be sent in a

separate envelope. Read each rebate form carefully for instructions regarding rebate and proof of purchase to ensure quick

and accurate service.

Want to receive your rebate sooner? Instead of mailing it, submit it online right here. We'll start processing your rebate

immediately. It's easy! There's no clipping, no mailing, no hassles. Prefer to mail your rebate? No problem. Just fill out the form

below. Note that each rebate must be sent in a separate envelope. Read each rebate form carefully for instructions

regarding rebate and proof of purchase to ensure quick and accurate service.

Click here if you do not have a printer. Please print this page.

Rebate Envelope #1: Toshiba Satellite C855-S5350 Laptop

Please Print the following information

Customer First Name Last Name

Street Address

City State Zip

Phone

Email Address

Promotion: Get a $50 Visa (R) Prepaid Card on Toshiba Laptops (SKUs 984635, 984633, 985042, 136822) atStaples

Rebate Reward: $50.00 Rebate Visa Prepaid Card

Valid Dates: 02-03-2013 through 06-29-2013

Postmark Date: Purchase Date Plus 60 Days

Promotion Details:

Purchase must be made between 02/03/13 and 06/29/13. Requests MUST be submitted online or postmarked within 60 daysfrom date of purchase. To submit online go to www.stapleseasyrebates.com and follow the instructions. To mail rebate:STAPLES STORE PURCHASE: Send only the completed rebate redemption form printed from the cash register. You may alsosend the submission form printed from www.stapleseasyrebates.com, or the PDF submission form provided by a Staples storealong with your rebate receipt. STAPLES.COM/CATALOG PURCHASE: Send the completed rebate redemption form with theORIGINAL or a COPY of a packing slip. Offer valid in U.S. only. Good for actual purchases by end users; excludes resellers anddistributors of products and their families. You should receive your rebate within 4-6 weeks after claim is received. All rebateswill be issued in US dollars, in the form of a Visa (R) prepaid card, Check, or Staples Gift Card. We are not responsible for lostor misdirected mail and illegible entries. Staples logo and product names are trademarks of Staples and their respectivecompanies. Limit 5 rebates per name/address/household. For questions about your rebate call 1-877-266-6483. Fraudulentsubmissions could result in federal prosecution under the U.S. Mail Fraud Statutes (18 USC, Section 1341 & 1342). Keep a copyof your documents for future reference. The VISA PREPAID CARD is not redeemable for cash and may not be used for cashwithdrawal at any cash-dispensing location. Each time you use the card the amount of the transaction will be deducted from theamount of your available balance. Additional Terms and Conditions apply to the card. Please refer to the Cardholder

Agreement insert provided with your prepaid card. Subject to applicable law, a monthly maintenance fee of $3 (USD) applies,but is waived for the first six months after the card is issued. No additional fees will be assessed once the card balance reacheszero. Your card is issued by J.P. Morgan Chase Bank, N.A. or MetaBank pursuant to a license from Visa U.S.A. Inc. Cards canbe used at any merchants that accept Visa debit cards. Staples reserves the right to substitute a check of equal value in lieu ofa Visa prepaid card at its discretion. STAPLES GIFT CARDS are redeemable only for future purchases at Staples U.S. stores.For balance, or if you have questions about your Staples Gift Card, call 1-888-609-6963 or visit staples.com/giftcards. Valuecan be added to this card at any Staples U.S. retail store. See Staples Gift Card for complete terms and conditions.

2/20/13 Staples.com

https://www.stapleseasyrebates.com/promocenter/staples/select_form.html 2/2

can be added to this card at any Staples U.S. retail store. See Staples Gift Card for complete terms and conditions.

1. Additional Information:

Purchase Toshiba Laptops (SKUs 984635, 984633, 985042,136822) at Staples stores, Staples.com orStaples catalog between 02/03/13 and 06/29/13, then submit online or mail it in to receive a VisaPrepaid card or select an alternative: __ Check or __ Staples Gift Card. Limit 5 rebates pername/address/household.

2. Mail this form and the proof of purchase (listed in the promotion details) to the following address:

STAPLES ( Dept. 13-42941 ),

PO Box 540036

EL PASO, TX 88554-0036

3. Please allow 4 - 6 weeks after we receive your submission to receive your rebate. Offers requiring activation and/orservice agreements may take longer. Please refer to the Terms and Conditions portion of each particular offer forspecific details.

Privacy Policy & Security | Terms & Conditions | Help

Easy Rebates is a registered service mark of Staples the Office Superstore, LLC

Powered by Parago, Inc.