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In order to be qualified for the rebate, customer has to fill out the following form.  We will send the Rebate to the following customer and address. 
Please make sure that the name and address below is the same as the customer who bought from

      Anderson Teak Rebate Form
        All information kept 100% confidential.

 Customer Information
First Name :  *
Last Name. :  *
Address :  *
Address 2 : 
City :  *
State / Province : 
Zip Code :  *
Country :  *
Phone  :  -*  Area code follows with phone number
Mobile / Cell Phone  :   
Email Address 1  :  *
What Company Did You Buy From :  *

 Reseller Information

                
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