*With Mail-In Rebate Receipt: 11/01/12 - 12/31/12 Only At Family Dollar

This completed Register Receipt Form and the original Family Dollar receipt with product names
circled. Receipt must be dated 11/1/12 12/31/12

Offer valid 11/1/12 12/31/12 or while supplies last. Requests must be received by 1/18/13. Limit one (1)
request per stamped envelope/per household. Allow 6-8 weeks for delivery.