Gift Card Reward Form - Touchtone

1 Gift Card Reward Redemption Form To claim your Gift Card Reward , please follow the instructions below: 1. Fill in your name, address and subscriber ID (can be found on your Welcome Letter). 2. Check the box next to the Gift Card you would like to receive 3. Place the completed form in an envelope, add proper postage and send to the below address before the end of your trial: Rewards Service Center Attn: Gift Card Reward Box 8788. Virginia Beach, VA 23450-8788. Please fill out the following: NAME: _____ SUBSCRIBER ID#: _____. ADDRESS: _____. CITY: _____ STATE _____ ZIP _____. Please check this box if you would prefer to receive a check instead of a gift card: Please select the gift card you would like to receive: Amazon BP Walgreen's Shell Best Buy Target Kohl's Visa Lowes Walmart McDonald's Applebee's Exxon/Mobil Home Depot Sears Barnes & Noble Reward Terms and Conditions: Offer valid only for new customers who accepted the trial offer and whose order was approved and successfully processed by Rewards Service Center.

2 Customer has 30 days from original order date to claim the Reward (PLEASE. REFERENCE YOUR WELCOME LETTER FOR YOUR ORDER DATE.) Please allow 4-8 weeks for processing. Reproductions of the Redemption Form are strictly prohibited. Rewards Service Center is not responsible for late, incomplete, lost, illegible, mutilated, misdirected or postage-due mail. Customer account must be in good standing as determined by Rewards Service Center in its sole discretion, to receive your Reward . LIMIT OF ONE. GIFT CARD PER ACCOUNT. THIS OFFER MAY NOT BE COMBINED WITH ANY OTHER GIFT CARD OFFER. INCOMPLETE, INACCURATE OR UNVERIFIED SUBMISSIONS WILL NOT BE HONORED OR RETURNED. THIS. PROGRAM IS AVAILABLE FOR A LIMITED TIME ONLY. REWARDS SERVICE CENTER RESERVES THE RIGHT TO. CEASE OR MODIFY THIS BENEFIT AT ANYTIME. By signing below, I acknowledge I have read and agreed to the Reward Terms and Conditions as described: SIGNATURE _____ DATE _____.