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Mail-In Rebates Authorized Agent/Retailer Customers Offers valid 11/22/12 through 12/25/12 Must be postmarked within 60 days of purchase date New 2-year activation required (except for Prepaid activations). Certain restrictions apply. Limit one rebate offer per wireless phone number and ESN, MEID or IMEI. Equipment must be activated on Verizon Wireless service to receive rebate. Asurion insurance replacement devices are not eligible for rebate. Cannot be combined with other offers. ©2012 Verizon Wireless. All rights reserved. REBIND112212E See reverse for rebate submission instructions. Available at participating Authorized Agent/Retailers only. Rebates will be mailed within 3 weeks after receipt of claim, but may take up to 6 weeks. Rebate questions? verizonwireless.com/rebates Your rebate will be paid with a Visa® debit card. After activation, the card can be used everywhere Visa® debit cards are accepted. Your card is issued by Citibank, N.A. pursuant to a license from Visa U.S.A. Inc. Citi Prepaid® Services is a Citibank, N.A. business. When you buy and activate the following equipment. Please check the box of the device you purchased. DROID is a trademark of Lucasfilm Ltd. and its related companies. Used under license. CASIO ® CASIO ® G’zOne Commando® 0-44476-81564-5 $ 50 CASIO ® G’zOne Ravine®2 0-44476-81863-9 0-44476-82180-6 8-56197-00400-6 8-56197-00401-3 $ $ $ $ 50 50 50 50 HTC HTC Trophy™ 0-44476-81756-4 $ 50 DROID INCREDIBLE 2 by HTC 0-44476-81766-3 0-44476-82283-4 $ $ 50 50 DROID INCREDIBLE 4G LTE by HTC 0-44476-82212-4 $ 50 ThunderBolt™ by HTC 0-44476-81657-4 $ 50 HTC Rezound™ 0-44476-82014-4 $ 50 LG Cosmos™ 2 6-52810-81487-4 $ 50 Extravert ™ 6-52810-81490-4 $ 50 Lucid™ by LG 6-52810-81512-3 $ 50 Lucid™ by LG - Purple 6-52810-81521-5 $ 50 Revere™ 6-52810-81486-7 $ 50 Spectrum™ by LG 6-52810-81506-2 $ 50 Spectrum™ 2 by LG 6-52810-81515-4 $ 50 Intuition™ by LG 6-52810-81518-5 $ 50 MOTOROLA DROID X2 by MOTOROLA 7-23755-00012-4 $ 50 DROID Pro by Motorola 7-23755-81143-0 $ 50 DROID RAZR by MOTOROLA- Cranberry Red 7-23755-00224-1 $ 50 DROID RAZR by MOTOROLA 16GB – Black 7-23755-00141-1 $ 50 DROID RAZR by MOTOROLA 16GB – White 7-23755-00140-4 $ 50 DROID RAZR by MOTOROLA 16GB – Purple 7-23755-00133-6 $ 50 DROID RAZR by MOTOROLA 16GB – Blue 7-23755-00172-5 $ 50 DROID RAZR by MOTOROLA 32 GB – Black 7-23755-00078-0 $ 50 DROID RAZR by MOTOROLA 32GB – White 7-23755-01027-7 $ 50 DROID RAZR M by MOTOROLA - Black 7-23755-00198-5 $ 50 DROID RAZR M by MOTOROLA - White 7-23755-00199-2 $ 50 DROID 4 by MOTOROLA 7-23755-00107-7 $ 50 NOKIA Nokia Lumia 822 - Black 7-58478-02531-4 $ 50 Nokia Lumia 822 - White 7-58478-02572-7 $ 50 Nokia Lumia 822 - Grey 7-58478-02573-4 $ 50 PANTECH Pantech Breakout™ 0-44476-81880-6 $ 50 Pantech Hotshot™ 0-44476-81864-6 $ 50 Pantech Jest™ 2 0-44476-81840-0 $ 50 Pantech 4G LTE USB Modem - UML290 0-44476-81468-6 0-44476-81899-8 $ $ 50 50 Pantech Marauder™ 0-44476-82434-0 $ 50 RIM BlackBerry® Curve™ 9310 8-02975-65922-7 $ 50 BlackBerry® Curve™ 9370 8-02975-65038-5 $ 50 BlackBerry® Curve™ 3G smartphone -Social Messaging Ready 8-02975-65144-3 $ 50 BlackBerry®Curve™3G smartphone-CharcoalGray 8-43163-06361-7 8-43163-06779-0 $ $ 50 50 BlackBerry® Curve™ 3G smartphone-Fuchsia 8-43163-06366-2 8-43163-06780-6 $ $ 50 50 BlackBerry® Bold™ 9650 smartphone 8-43163-06091-3 8-43163-06093-7 8-43163-06751-6 8-43163-06752-3 $ $ $ $ 50 50 50 50 BlackBerry® Torch™ 9850 smartphone 8-43163-07347-0 $ 50 BlackBerry® Bold™ 9930 8-43163-07356-2 8-43163-07359-3 $ 50 SAMSUNG Samsung Brightside™ 6-35753-49246-0 $ 50 Samsung Convoy™ 2 6-35753-49038-1 $ 50 Galaxy Nexus by Samsung 6-35753-49469-3 6-35753-49821-9 $ $ 50 50 Samsung Gusto™ 2 6-35753-49758-8 $ 50 Samsung Intensity™ II - Deep Gray 6-35753-48262-1 $ 50 Samsung Intensity™ II - Metallic Blue 6-35753-48472-4 $ 50 Samsung Intensity™ III 6-35753-49810-3 $ 50 Samsung Stratosphere™ 6-35753-49338-2 $ 50 Samsung Galaxy Stellar™ 6-35753-50006-6 $ 50 Samsung Galaxy™ Stratosphere™ II 6-35753-50045-5 $ 50 DROID CHARGE by Samsung 6-35753-48867-8 $ 50 VERIZON WIRELESS PC770 6-49496-01342-4 $ 50 UMW190 0-44476-81013-8 0-44476-81048-0 0-44476-81279-8 $ $ $ 50 50 50 VerizonJetpack4GLTEMobileHotspotMiFi®4510L 6-49496-01538-1 $ 50 VerizonJetpack4GLTEMobileHotspotMiFi®4620L 6-49496-01786-6 $ 50 Verizon Jetpack 4G LTE Mobile Hotspot-890L 7-93573-05112-7 $ 50 VZWJetpack 4GLTEMobileHotspotMiFi®4620LE 6-49496-01869-6 $ 50 4G LTE USB Modem - USB551L 6-49496-01657-9 $ 50 Wireless Equipment Proof of Purchase (UPC) Rebate Amount Wireless Equipment Proof of Purchase (UPC) Rebate Amount
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Mail-In Rebates Authorized Agent/Retailer Customers

Nov 15, 2021

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Page 1: Mail-In Rebates Authorized Agent/Retailer Customers

Mail-In Rebates Authorized Agent/Retailer Customers

Offers valid 11/22/12 through 12/25/12Must be postmarked within 60 days of purchase date

New 2-year activation required (except for Prepaid activations). Certain restrictions apply. Limit one rebate o� er per wireless phone number and ESN, MEID or IMEI. Equipment must be activated on Verizon Wireless service to receive rebate. Asurion insurance replacement devices are not eligible for rebate. Cannot be combined with other o� ers.©2012 Verizon Wireless. All rights reserved. REBIND112212E

See reverse for rebate submission instructions. Available at participating Authorized Agent/Retailers only.Rebates will be mailed within 3 weeks after receipt of claim, but may take up to 6 weeks.

Rebate questions? verizonwireless.com/rebates

Your rebate will be paid with a Visa® debit card. After activation, the card can be used everywhere Visa® debit cards are accepted. Your card is issued by Citibank, N.A. pursuant to a license from Visa U.S.A. Inc. Citi Prepaid® Services is a Citibank, N.A. business.

When you buy and activate the following equipment. Please check the box of the device you purchased.

DROID is a trademark of Lucasfilm Ltd. and its related companies. Used under license.

CASIO®∫ CASIO® G’zOne Commando® 0-44476-81564-5 $ 50

∫ CASIO® G’zOne Ravine®20-44476-81863-90-44476-82180-68-56197-00400-68-56197-00401-3

$$$$

50505050

HTC∫ HTC Trophy™ 0-44476-81756-4 $ 50

∫ DROID INCREDIBLE 2 by HTC 0-44476-81766-30-44476-82283-4

$$

5050

∫ DROID INCREDIBLE 4G LTE by HTC 0-44476-82212-4 $ 50∫ ThunderBolt™ by HTC 0-44476-81657-4 $ 50∫ HTC Rezound™ 0-44476-82014-4 $ 50

LG∫ Cosmos™ 2 6-52810-81487-4 $ 50∫ Extravert ™ 6-52810-81490-4 $ 50∫ Lucid™ by LG 6-52810-81512-3 $ 50∫ Lucid™ by LG - Purple 6-52810-81521-5 $ 50∫ Revere™ 6-52810-81486-7 $ 50∫ Spectrum™ by LG 6-52810-81506-2 $ 50∫ Spectrum™ 2 by LG 6-52810-81515-4 $ 50∫ Intuition™ by LG 6-52810-81518-5 $ 50

MOTOROLA∫ DROID X2 by MOTOROLA 7-23755-00012-4 $ 50∫ DROID Pro by Motorola 7-23755-81143-0 $ 50∫ DROID RAZR by MOTOROLA- Cranberry Red 7-23755-00224-1 $ 50∫ DROID RAZR by MOTOROLA 16GB – Black 7-23755-00141-1 $ 50∫ DROID RAZR by MOTOROLA 16GB – White 7-23755-00140-4 $ 50∫ DROID RAZR by MOTOROLA 16GB – Purple 7-23755-00133-6 $ 50∫ DROID RAZR by MOTOROLA 16GB – Blue 7-23755-00172-5 $ 50∫ DROID RAZR by MOTOROLA 32 GB – Black 7-23755-00078-0 $ 50∫ DROID RAZR by MOTOROLA 32GB – White 7-23755-01027-7 $ 50∫ DROID RAZR M by MOTOROLA - Black 7-23755-00198-5 $ 50∫ DROID RAZR M by MOTOROLA - White 7-23755-00199-2 $ 50∫ DROID 4 by MOTOROLA 7-23755-00107-7 $ 50

NOKIA∫ Nokia Lumia 822 - Black 7-58478-02531-4 $ 50∫ Nokia Lumia 822 - White 7-58478-02572-7 $ 50∫ Nokia Lumia 822 - Grey 7-58478-02573-4 $ 50

PANTECH∫ Pantech Breakout™ 0-44476-81880-6 $ 50∫ Pantech Hotshot™ 0-44476-81864-6 $ 50∫ Pantech Jest™ 2 0-44476-81840-0 $ 50

∫ Pantech 4G LTE USB Modem - UML290 0-44476-81468-60-44476-81899-8

$$

5050

∫ Pantech Marauder™ 0-44476-82434-0 $ 50

RIM∫ BlackBerry® Curve™ 9310 8-02975-65922-7 $ 50∫ BlackBerry® Curve™ 9370 8-02975-65038-5 $ 50∫ BlackBerry® Curve™ 3G smartphone -Social Messaging Ready 8-02975-65144-3 $ 50

∫ BlackBerry® Curve™ 3G smartphone - Charcoal Gray 8-43163-06361-7 8-43163-06779-0

$$

5050

∫ BlackBerry® Curve™ 3G smartphone-Fuchsia 8-43163-06366-28-43163-06780-6

$$

5050

∫ BlackBerry® Bold™ 9650 smartphone8-43163-06091-3 8-43163-06093-7 8-43163-06751-6 8-43163-06752-3

$ $ $ $

50 50 50 50

∫ BlackBerry® Torch™ 9850 smartphone 8-43163-07347-0 $ 50

∫ BlackBerry® Bold™ 99308-43163-07356-2 8-43163-07359-3

$ 50

SAMSUNG∫ Samsung Brightside™ 6-35753-49246-0 $ 50∫ Samsung Convoy™ 2 6-35753-49038-1 $ 50

∫ Galaxy Nexus by Samsung 6-35753-49469-3 6-35753-49821-9

$$

5050

∫ Samsung Gusto™ 2 6-35753-49758-8 $ 50∫ Samsung Intensity™ II - Deep Gray 6-35753-48262-1 $ 50∫ Samsung Intensity™ II - Metallic Blue 6-35753-48472-4 $ 50∫ Samsung Intensity™ III 6-35753-49810-3 $ 50∫ Samsung Stratosphere™ 6-35753-49338-2 $ 50∫ Samsung Galaxy Stellar™ 6-35753-50006-6 $ 50∫ Samsung Galaxy™ Stratosphere™ II 6-35753-50045-5 $ 50∫ DROID CHARGE by Samsung 6-35753-48867-8 $ 50

VERIZON WIRELESS∫ PC770 6-49496-01342-4 $ 50

∫ UMW1900-44476-81013-8 0-44476-81048-0 0-44476-81279-8

$$$

505050

∫ Verizon Jetpack 4G LTE Mobile Hotspot MiFi® 4510L 6-49496-01538-1 $ 50∫ Verizon Jetpack 4G LTE Mobile Hotspot MiFi® 4620L 6-49496-01786-6 $ 50∫ Verizon Jetpack 4G LTE Mobile Hotspot-890L 7-93573-05112-7 $ 50∫ VZW Jetpack ™4G LTE Mobile Hotspot MiFi®4620LE 6-49496-01869-6 $ 50∫ 4G LTE USB Modem - USB551L 6-49496-01657-9 $ 50

Wireless EquipmentProof of Purchase (UPC)

Rebate Amount Wireless Equipment

Proof of Purchase (UPC)

Rebate Amount

Page 2: Mail-In Rebates Authorized Agent/Retailer Customers

To receive your rebate by mail, please complete this rebate form in its entirety and submit the following: CUSTOMER CONTACT INFORMATION (Use CAPITAL LETTERS)1

2

3

4

5

6

First Name Last Name

Billing Address

City State Zip Code

Wireless area code and phone number on rebate eligible equipment. (Must be included)

E-mail address (for rebate submission status only)

CUSTOMER AGREEMENT OR VERIZON WIRELESS SMALL BUSINESS RECEIPT Copy of Customer Agreement (signed contract), dated between 11/22/12 through 12/25/12The following is acceptable for agreements with multiple wireless numbers: • First page with purchase location and customer information • Corresponding page indicating rebate eligible Wireless Number and ESN, MEID, or IMEI

ORIGINAL BAR CODE LABELS (Photocopies will not be accepted)- Include the entire original white bar code label cut from the outside of the manufacturer’s box that your equipment came in. - The bar code label includes two bar codes. One is ESN, MEID, or IMEI bar code and the other is Proof of Purchase (UPC) bar code.- The labels must only come from the eligible equipment that you purchased.- Before sending, be sure to confi rm that the number on your Proof of Purchase (UPC) bar code matches the Proof of Purchase (UPC) code for your device – listed on the front of this form.Proof of Purchase (UPC) and ESN, MEID, or IMEI label may be required for a full equipment refund. Return policies may vary at Verizon Wireless authorized retailers.

SIGN AND MAKE A COPYThis form must be signed, dated and postmarked within 60 days of purchase date. (Failure to follow these submission instructions may invalidate your rebate.) Make a photocopy of all submitted materials for your records, including all bar code labels.

Signature DateI certify by my signature that the information I have entered on this mail-in rebate form is accurate and complete. I agree to the terms and conditions as outlined on this form.

MM DD YY

DO YOU HAVE EVERYTHING?∫ This completed and signed form. ∫ Original bar codes including Proof of Purchase (UPC) and ESN, MEID, or IMEI.∫ Copy of Customer Agreement or Verizon Wireless Small Business Receipt (signed contract) indicating

purchase location, customer information, and rebate eligible Wireless Number and ESN, MEID, or IMEI.Note: 2 weeks after you mail the rebate claim form, please visit our rebate center at verizonwireless.com/rebates to check the status of your rebate submission.At our rebate center you can also obtain answers to frequently asked questions or register your rebate online. For general questions you can also call 1-800-457-0864.

MAIL TOMail-In Rebate Offer Promotion Code 99-174P.O. Box 540047El Paso, TX 88554-0047 (One rebate request per envelope.)

Any mail-in rebate form or rebate card lost or misdirected by the U.S. Postal Service or other delivery service is not the responsibility of Verizon Wireless or the Ful� llment Center. Overnight or certi� ed mail may increase processing time. Incorrect information, illegible or incomplete rebate forms will be considered invalid and ineligible for rebate and presumed to be customers’ acts or omissions. Verizon Wireless reserves the right to review and approve all o� ers and modify or withdraw this promotion at any time for any reason. Rebate cards will be issued in U.S. dollars only. Rebate cards are valid through the 12-month expiration date shown on the card. This rebate form has no cash value. Reproduction, purchase, sale or trade of this rebate form or bar code label from equipment box is prohibited. Materials received become property of Verizon Wireless and cannot be returned. O� er valid only in the United States for customers only. Fraudulent submissions could result in prosecution under U.S. Mail Fraud Statute (18 USC Sections 1341–1342).