VALID ONLY on Dr. Scholl’s® Custom Fit™ Orthotics available on the kiosk.
NOT VALID on any other Dr. Scholl’s® insoles, inserts or orthotics.
Your rebate request, including all required materials, must be postmarked by May 31, 2010. Limit four per household, address and/or name.
Program Number: DR-18M-10 Offer Number: 001612
To receive your rebate offer of $10.00, for the purchase of Dr. Scholl’s® Custom Fit™ Orthotic Inserts, you must:
• Buy one Dr. Scholl’s® Custom Fit™ Orthotic product between January 15, 2010 and April 30, 2010.
• By no later than May 31, 2010, mail this form along with the original UPC from product package* and the original store
cash register receipt, dated between January 15, 2010 and April 30, 2010 with your product purchase and price circled.
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