Tag Archives: Forms

Modern Forms Hiline Outdoor Dimmable LED Wall Light in Graphite: 8″ (245 Lumens) $27.80, 12″ (260 Lumens) + Free Shipping

Modern Forms  Hiline Outdoor Dimmable LED Wall Light in Graphite: 8" (245 Lumens) $  27.80, 12" (260 Lumens) + Free Shipping

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build.com [build.com] has Modern Forms 8" Hiline Indoor / Outdoor Dimmable LED Wall Light in Graphite (WS-W2308-GH) for $ 27.80 w/ SPRINGLQ. Shipping is free.[LIST][*]Hardwire install; Replaceable LED module[*]Includes LED bulb[*]Dimming with electronic low voltage (ELV) dimmer[*]50,000 hour potential life[*]Color Temp: 3000K, Color Rendering Index (CRI): 84, 245 Lumens[*]Height: 8" H x 2.275"W, Extension: 2.275"


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Miller/Coors-6 DIFFERENT “FOOD” rebates for $70. No beer purchase required for 5 states. Forms found at Food Lion.

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6 DIFFEENT Forms-1 of each-$ 70 in rebates-NEW Offer numbers!!!

You will receive 6 different rebate Forms, all NBPR for AL,AR,NC,VA,WV. 5/18-7/13. Each allows for multiple receipts. One unique rebate per address or household. U can do all SIX!!

Miller Lite Save $ 25 when you buy at least $ 50 on a total in store purchase. The total in store excludes tobacco products, pharmacy items, lottery, and alcoholic beverages. Offer 15-21343

Miller Lite Save $ 5 when you buy any two packages Johnsonville Smoked or Cooked Sausages (any variety) Offer 15-21390

Coors Light Save $ 25 when you buy at least $ 50 on a total in store purchase. The total in store excludes tobacco products, pharmacy items, lottery, and alcoholic beverages. Offer 15-21340

Redd’s Ale Save $ 5 when you buy $ 5 or more on bottle or cans of Seagram’s Ginger Ale or any ginger ale while also buying $ 2.00 or more purchase of ice Offer 15-21391

Leinenkugels Save $ 5 when you buy $ 5, or more, on the purchase of any lemons Offer 15-21387

Blue Moon Offer Save $ 5 when you buy any 3 McCormick Grill Mates Seasonings while also purchasing at least $ 4 of any chicken Offer 15-21386

Send this form (NO copies) and receipt(s).


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$10 7-UP rebate. Forms found at Food Lion.

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$ 10/$ 10.01 Heineken 7UP
Valid 5/1/15 through 7/31/15. Must be postmarked by 8/15/15.
Get $ 10/$ 10.01 worth or more (excl. sales tax) of 7UP (any size, any variety) & 2 12-packs (equivalent or larger) of Heineken, Heineken light, or Amstel light in 12 oz bottles or cans
No beer purchase required in AR, CT, HI, KY, MO, NC, NY, UT, and WV.

Send this "original" form and receipt(s).


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$10 MIR for Deli Platter. No beer purchase required in AL, CT, HI, KY, MO, NJ, NY, NC, PA, UT, VT, and WV. Forms found at Food Lion.

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$ 10/$ 25 Heineken deli platter
Offer valid 1/3/15 through 3/1/15. Must be postmarked by 3/15/15.

No beer purchase required in AL, CT, HI, KY, MO, NJ, NY, NC, PA, UT, VT, and WV. In these states, you only need to purchase any deli platter worth $ 25 or more.

Beer and Strongbow purchase requirements – One (1) 12-pack (equivalent or larger) of Heineken, Heineken Light, Amstel Light, or Dos Equis Lager Especial or Ambar OR one (1) 24-pack of Heineken 8.5 oz Slim Cans OR two (2) 6-pack bottles or three (3) 4-packs cans of any Strongbow Hard Apple Cider.

-Beer AND deli platter purchase required in OR and TN.
-Strongbow AND deli platter purchase required in AR.
-Beer or Strongbow AND deli platter purchase required in AK, AZ, CA, CO, DE, DC, FL, GA, ID, IL, IA, KS, LA*, ME, MD*, MA, MI, MS, MT, NE, NV, NH*, NM, ND, OH*, OK, RI, SC, SD, VA*, WA, WI, and WY. LA residents are eligible for a $ 2, not a $ 10 rebate. MD residents are eligible for a $ 7, not $ 10 rebate. NH and OH residents: Refund will be on the purchase price of the beer only (excl. sales tax), up to a maximum of $ 10. VA residents are eligible for a refund of up to 50% of the normal retail price of the beer (excl. sales tax) up to a maximum of $ 10.

Send this original form (no copies) and receipt.


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Free Current Medication Form and 20% off all other forms at Caregiverforms.net

For Caregivers and families who have caregivers. Enter your email (or don’t) and click on the submit button you will get a free Current Medication List to keep track of all medications in one place….

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Smirnoff $20 MIR for Grilling Meat. No alochol purchase for KY & NC. Forms found at Food Lion.

SAVE $ 20.00 BY MAIL OFF GRILLING MEAT!

No purchase of alcohol necessary

Minimum grilling meat purchase of $ 20.01 required.

To receive your rebate, mail original dated cash register…

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