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OFFICIAL HUNTER DOUGLAS REBATE FORM

2011 Energy Smart Style Promotion

1. Purchase qualifying Hunter Douglas products between January 14 and April 29, 2011. 2. Fill out this rebate form legibly and completely. 3. Attach your original, dated purchase receipt, which must include detailed product descriptions, to this form. The date on the receipt should be the purchase date, not the delivery or installation date. Retain a copy of all materials for your records. 4. Mail the completed form and original purchase receipt postmarked by May 31, 2011 to: Hunter Douglas Energy Smart Style, P.O. Box 6391, West Caldwell, NJ, 07007-6391 5. Please allow 6 weeks after we receive your submission for delivery of your American Express® Prepaid Reward Card. 6. For questions about this promotion call 1-800-672-8045 (Mon. ­ Fri., 7:00 AM ­ 6:00 PM MT). Please reference rebate offer SP1101-01.ISRE01 when calling. .

Customer Information (required)

name name Last First / Suite # Address Apt. City

Email address

State

code - Zip code - - Telephone Area

Please check here if you are not interested in receiving future information or special offers from Hunter Douglas.

Dealer Information (required)

Store name Z Blinds Company Store address City HD ID#

242284

680 P St # B

State

Fabricator HD West Sales Region

Fresno

CA

Zip

93721-2704

SP1101-01.ISRE01

Rebate Information (required)

Product Purchased Duette® Architella® Honeycomb Shades Duette Architella VertiglideTM Honeycomb Shades Duette Architella Vertiglide Honeycomb Shades with DuoliteTM Duette Vertiglide® Honeycomb Shades Duette Vertiglide Honeycomb Shades with Duolite Luminette® Privacy Sheers or Modern Draperies Pirouette® Window Shadings Silhouette® Window Shadings Skyline® Gliding Window Panels Vignette® Modern Roman Shades

Note: Alustra® Collection products from applicable product lines qualify for the rebate offers above.

Rebate Offer

$25 per unit $100 per unit $300 per unit $100 per unit $300 per unit $100 per unit $50 per unit $50 per unit $100 per unit $40 per unit

Units Purchased

Rebate Amount

Please Let Us Know (fill in circle)

Have you ever purchased Hunter Douglas window fashions prior to this promotion? Yes No How long were you considering your purchase of window fashions? <1 mo. 1­3 mos. 3­6 mos. >6 mos. Which research tools did you use when considering your purchase? (Fill in all that apply) HunterDouglas.com Friends & family Other internet site(s) Interior designer Decorating TV shows Decorating magazines Retail showroom Other______________ Are you satisfied with your Hunter Douglas products? Yes No Would you recommend our products to friends/family? Yes No Are you satisfied with your Hunter Douglas retailer? Yes No What made you decide to purchase window fashions at this time? (Fill in all that apply) Moved to new home Updating/redecorating Upgrading for energy efficiency Upgrading for child/pet safety This rebate promotion How did this rebate promotion influence your decision to purchase? (Fill in only one answer) I would not have made a purchase otherwise I purchased more than I had planned I would have made a purchase anyway

Total

How much did you spend on Hunter Douglas products?

(excluding tax and installation)

$

Customer's signature Date (MM/DD/YYYY)

To be eligible for a rebate, qualifying Hunter Douglas window fashions must be purchased between January 14 and April 29, 2011. The signed Hunter Douglas Energy Smart Style Promotion rebate form and the original retail purchase receipt must be submitted to the address listed on this form. All requests must be postmarked by May 31, 2011. Purchaser must complete and follow all instructions stated on the official rebate form. Only ONE official rebate form may be submitted per household for redemption. Rebates are non-transferable to anyone other than the purchaser. Tampering with, altering or falsifying purchase information in connection with this rebate offer constitutes fraud. All fraudulent submissions will automatically be deemed ineligible and may result in prosecution. All decisions made by Hunter Douglas relating to the validity of any submissions are final and binding. This promotion is good only in the U.S.A. and void where restricted or otherwise prohibited by law. This promotion is subject to all federal, state and local laws and regulations. Hunter Douglas reserves the right to modify or discontinue this offer at any time for any reason. Offer may not be assigned, traded, sold or combined with any other Hunter Douglas sponsored offer. Mail-in only. No fax or phone submissions accepted. No cash rebates. Please retain copies of the materials submitted. All requests become the property of Hunter Douglas and will not be returned. Hunter Douglas is not responsible for any lost, late, damaged, misdirected, incomplete, incorrect or illegible mail. No postage-due requests. Please allow 6 weeks for delivery of reward card by mail. This offer expires April 29, 2011. The information we collect from the purchaser hereon shall not be sold, exchanged, transferred or given to any third party except that it may be shared solely with our business partners for the purpose of administering our rebate program or any promotion or survey or verifying the validity of the information provided herein or marketing our products. ©2011 Hunter Douglas. ® and TM are trademarks of Hunter Douglas.

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Microsoft Word - Spring Rebate_final.DOC