FREE

Thank you for your purchase of a Raymour & Flanigan

Bellanest mattress or mattress set

Receive a

First Name:

Last Name:

Address:

City:

State: Zip:

Cell Phone:

Email Address:

Signature:

Reward: Bellanest R&F Smart Bracelet

Florida Seller of Travel Numbers: ST39966

MANDATORY

By signing this form, you hereby agree to all Terms & Conditions

Must be postmarked by: 10/14/17

TERMS & CONDITIONS• Elite Rewards reserves the right to substitute a comparable product.• Rebate forms are completely transferable, but may not be resold under any circumstances. Notice of resell will

void the rebate form.• Once your receipt and information is received allow 2-4 weeks for processing and delivery. Failure to adhere to

all Terms & Conditions may hinder the processing of your rebate form.• Offer not valid after expiration date under any circumstance.• Qualifying purchases from 7/28/17 - 8/14/17 on a Raymour & Flanigan Bellanest mattress or mattress set.• FAILURE TO COMPLETE ANY LINE OF THIS REBATE FORM WILL RESULT IN THIS VOUCHER BEING RETURNED TO

YOU AND WILL CAUSE A DELAY IN PROCESSING.

For questions please call 866-ELITE-21 or 866-354-8321 or email us at customercare@eliterewards.biz

Mail this, along with a photocopy of your sales receipt that includes the bed name, size and price purchased to Elite Rewards · PO Box 261147 · Tampa, FL 33685Please keep your original receipt for warranty claims or in case of mail loss.

Scan and email your original receipt along with the completed form toinfo@selectgiftwithpurchase.com

2 EASY WAYS TO REDEEM YOUR REWARD!