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INTERNET REDEMPTION FORM

$50 MAIL-IN REBATE WITH PURCHASE OF

WDC WD1200JBRTL HARD DRIVE

PROGRAM NO. YE065
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Please completely fill out the form below and make a
copy for your records.

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QUALIFYING MODELS:

$50.00 Mail-In Offer on purchase of:

WDC WD1200JBRTL Qty: 1 Rebate Amt: $50.00

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Please see your sales associate regarding qualifying
models or for additional information.

Qualifying items must have been purchased between
05/23/04 and 05/29/04

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HOW TO SUBMIT FOR THIS OFFER:

Please send in the following items:

* This form in its entirety.
* A legible copy of the Circuit City sales receipt or confirmation email.
* A copy of the UPC barcodes from the product packaging.
* Please sign this form in the space below.

______________________________________________________


* See our website information below for details.

The above listed items must have been purchased during
the listed sales dates. Forms postmarked later than
30 days from purchase are ineligible. By submitting this form you
certify that the above items are for personal
use only and not for resale. Allow 8 weeks from
postmark date for processing of your rebate or other
promotional offer. This offer is valid for customer
name on sales receipt only. Circuit City and its
associated companies are not responsible for lost or
misdirected mail. This form and sales receipt will not
be returned.

This offer is no longer valid if not fully redeemed
within 11 Months from the close of the redemption
period.

Offer void where prohibited or restricted by law.
Fraudulent submission of multiple requests may result in
prosecution under applicable law. Circuit City and its
associated companies reserve the right to audit any
claims, to request additional information regarding this
claim and to nullify any claims which cannot be
substantiated. Products for which rebate or promotional
offer is claimed may not be returned.

- Offer valid in United States of America only.

Limit 1 rebate(s) or other promotional offer(s)
per person
per address
per household

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CUSTOMER INFORMATION:

Please verify name, address, and phone number below.

Name:___________________________________________________
Address: _________________________ Apt#: ______________
City: ____________________ State: ___ Zip: ________
Home Phone: _______________

Email Address: _________________________________________

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MAIL THIS FORM IN ITS ENTIRETY TO:

CIRCUIT CITY REBATES
PROGRAM YE065
P.O. Box 5255
YOUNG AMERICA MN 55558-5255

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Submit your rebate online, get your cash back faster and
track the real-time status of your rebate. Please visit
our website for details.

www.circuitcityrebates.com

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If you have questions about your offer, please call
1-888-213-9761
Business hours may vary.

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