Mail-in Rebate Form for MediaStor $25MIR Please PRINT this form and then clearly hand-print the information in each blank. Note: Forms with typed-in responses WILL NOT be accepted. NAME: ADDRESS: CITY: STATE: ZIP: DAYTIME PHONE: ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ BRAND: MODEL: SKU: REBATE: OFFER DATE: POSTMARK DATE: MediaStor CW-524 5606944 08/17/2003 TO 08/23/2003 30 days from date of purchase PROOF OF PURCHASE REQUIREMENTS: MAIL ALL OF THE ABOVE TO: Lab-Unique Fulfillment Center MediaStor MIR Offer-Dept 7358-092 PO Box 1239 Lomita, CA 907171239 18886550854 TERMS AND CONDITIONS: REBATE CENTER POLICY: Permission is granted to electronically copy and to print hard copy portions of this site for the sole purpose of obtaining a rebate. Any manipulation or alteration of the rebate or other use of materials on this site, including reproduction for purposes other than as noted above, modification, distribution or republication, is strictly prohibited. Fraudulent submission could result in federal prosecution under mail fraud statutes (Title 18, United States Code, Sections 1341 and 1342). By submission of this rebate form, you agree to be bound to all rules and regulations placed upon the rebates by either the manufacturer, Best Buy Co., Inc., or BestBuy.com. You should receive your rebate within 8 weeks. If you have questions or wish to check on the status of your rebate, please call the Best Buy Rebate Center at 1-888-BESTBUY.