The new washer must be purchased by this date. The expiration date is also shown on page 1. The rebate dollar amounts shown on the rebate form are valid from November 5 th,2020 to November 4 th,2021.This rebate offer is available to all Samsung washer owners in the United States who have a Samsung Top- Load washer covered by the recall announced on November 4th, 2016 and is subject to the terms thereof.If you have any additional questions, contact us at 86, 9:00am to 6:00pm EST,Monday through Friday, Saturday/Sunday:Closed If you do not receive a response by the end of that period, call the Samsung Rebate Response Line at 86 for the status of your rebate.
Please allow 4 to 6 weeks from the submission of this form for receipt of your rebate.
Samsung washing machine recall serial numbers serial number#
Serial Number Labels (Label 1 is located in one of the two locatiosbelow):
Make a photocopy of the receipt from your new washer and page 1 for your records. Include the original sales receipt for the new washer. Sign the Rebate Form certifying that you have discarded the recalled Samsung washer, that it is no longer in use, that the label(s) you affixed to this form are from your recalled Samsung washer, and acknowledging that it is a violation of federal law to sell or distribute in commerce any recalled washer. If your washer had only one label, make sure to include the picture of the back of the washer. Affix the one (1) or two (2) Model/Serial Number labels from your recalled Samsung washer to the rebate form. List the brand, model number, and serial number of your new washer in the space provided. Select the rebate you are applying for – Samsung washer or Other Manufacturers washer. Indianapolis, IN 46278īefore you mail this form, please remember to: Samsung TLW Rebate Program c/o StericycleĦ026 Lakeside Blvd. Mail this page, signed and dated, with the Model/Serial Number labels from your recalled Samsung washer, the picture of the back of the washer if you have ony 1 label, and the original receipt from your new washer to:. In the Certification box below, print your name, and then sign and date the form to certify that your recalled washer has been properly discarded (or delivered for disposal), that it is no longer in use, and that the label(s) you have affixed are from your recalled Samsung washer and that you acknowledge that it is a violation of federal law to sell or distribute in commerce a recalled washer. Important: Do not remove the Model/Serial Number labels from your new washer. When you mail in this form, include a copy of the picture. If your washer has only one (1) Model/ Serial Number label, take a picture of the back of the washer, then remove the label, and affix it below. Affix the two (2) Model/Serial Number labels from your recalled Samsung washer to the grey boxes at the bottom of this page. List the brand, model number, and serial number of your new washer in the space provided below. Indicate the appropriate rebate choice from the 2 choices below by filling in the circle. Purchase and take delivery of a new washer from any retailer. For any purchase made after November 4th,2021 a new rebate form will need to be requested which will have a reduced rebate amount. 
The rebate amount is valid from November 5,2020 to November 4,2021,after which time the rebate amount will be adjusted. * The rebate value cannot exceed the price of the new washer. You will receive $ toward the purchase of a new Samsung Washer or $ toward the purchase of a washer from another manufacturer, subject to the Eligibility Requirements set out below. This Samsung exchange rebate* applies to the purchase of a new
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