25 Pound Voucher

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    Claim form

    Thank you for downloading the Sony Ericsson Xperia Cashback claim form. This form will help you claim

    your 25 cashback for your purchase of a new Xperia arc, arc S or ray handset. Simply print thisdocument and follow the instructions within the claim form carefully.

    If you have anyqueries in relation to your claim, please phone us on +44 (0) 1379 649 169

    For all other queries, please contact the Sony Ericsson customer service team on +44 (0) 8705 237237

    Cashback claims from Sony Ericsson are valid on all UK purchases from12 December to 31 December 2011.

    Cashback from Sony Ericsson

    How do I claim my cashback?

    Simply fill in your printed claim form, then return it to us before 31 January 2012, together with your proof of

    purchase.

    How will I receive my cashback?

    You will receive a cheque within 28 days of the redemption period closing. Please ensure we receive your

    claim form by 31 January 2012.

    Personal Details

    Title: ____________________________________________________________________________

    First name: _________________________________________________________________________

    Last name: ___________________________________________________________________________

    (The cheque will be addresses to the claimant named here)

    Address 1: __________________________________________________________________________

    Address 2: __________________________________________________________________________

    Postcode: __________________________________________________________________________

    Phone/Mobile: _______________________________________________________________________

    Email address: _______________________________________________________________________

    Date of birth DD/MM/YYYY:_______________________________________________________________

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    About your purchase

    Date of purchase DD/MM/YYYY: __________________________________________________________

    Store name and location: ________________________________________________________________

    Please fill in the boxes below with the full IMEI number of the product(s) you have purchased, circle the

    model type, and indicate what drove your purchase

    IMEI number: __________________________________________________________________________

    {The IMEI number is a unique handset reference which can be found on the handset box}

    Model Type Xperia arc (LT15i) Xperia arc S (LT18i) Xperia ray (ST18i)

    Saw an advert Prompted by social media Word of mouth Recommended in store Cashback incentive

    Finding your IMEI and model code

    The model code and the IMEI can be found on the barcode label on the product packaging and on yourphone.

    The model number can also be found on a label underneath your phone battery. The IMEI can bedisplayed on your phone by typing *#06#

    Please tick to show you have remembered to include:

    Model number

    Original sales receipt(s)

    IMEI

    Please tick here to confirm you have read and agree to the Terms & Conditions of this promotion

    Your signature:

    ________________________

    Your data

    Personal information which you supply will be processed by Sony Ericsson UK Ltd, and its third party

    service for the purposes of administering this promotion. If you agree, we would also like to use thisinformation to advise you of offers and services which may be of interest to you from Sony Ericsson UK Ltdand other Sony Group companies worldwide.

    On your request to Sony Ericsson UK Limited your personal information that we hold will be provided,corrected, amended or deleted (as required by law). If you have any questions regarding our use of yourpersonal information, please email us through our website at:http://www.sonyericsson.com/cws/corporate/common/contact

    CHILDREN UNDER THE AGE OF 14 MUST OBTAIN PARENTAL OR GUARDIAN CONSENT BEFOREPROVIDING ANY PERSONAL DATA.

    For more information on Sony Ericssons privacy statement, visit:http://www.sonyericsson.com/cws/common/legal/privacy?cc=gb&lc=en

    Detach and return this form to:

    Sony Ericsson Xperia Cashback, PO Box 100, Diss, Norfolk, IP98 1SY

    http://www.sonyericsson.com/cws/common/legal/privacy?cc=gb&lc=enhttp://www.sonyericsson.com/cws/common/legal/privacy?cc=gb&lc=enhttp://www.sonyericsson.com/cws/common/legal/privacy?cc=gb&lc=en