Important : THIS IS NOT A REBATE SUBMISSION FORM.

To apply for Rebate, please Read the Rebate Instruction provided to you
at the exact page of the online store you bought your product from.

Rebate Instruction forms may be acquired from the store where you purchased your product.

Rebate Inquiry

If you have already completed and submitted your Rebate Claim form and have not received your rebate after the time period indicated, please complete the Rebate Status Form following and MicroNet will contact you regarding your Inquiry.

Only fill out this form if you have not received your rebate after the time period indicated on the rebate form.

PLEASE FILL OUT THIS FORM COMPLETELEY

Promo Code
Contact Name
Day Telephone
Address
City
State
Zip Code
Country
E-mail Address
Dealer Name
Purchase Date
Part No.
(Ex. GD1000EU, MDU32000)
Serial No.
(Ex. SA10152)  
Date Rebate Form was Mailed
Amount of Rebate

Please click on 'Submit' only once.


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