REBATE REDEMPTION

CERTIFICATE # 6031961

To receive your $30 rebate, PRINT and mail this Rebate Redemption Certificate along with theoriginal receipt validating the set of qualifying Wagner ThermoQuiet® Brake Pads and/or Shoespurchased to the address below:

Smart Choice Wagner ThermoQuiet Rebate

P.O. Box 40519

Cleveland, Ohio 44140, USA

Name: Ana Dolores Chavarria Lau

Mailing Address: 618 Nw 128th Pl

Apartment:

City: Miami

State/Province: FL

ZIP/Postal Code: 33182

Country: United States

Phone: (305) 480-9533

Email: jarch711@hotmail.com

Part Number 1: MX687A

Part Number 2: MX340A

Where Purchased: Amazon.com

Date: 2011-03-07

To complete rebate processing, Rebate Redemption Certificate must be submitted along with the original receipt validating qualifyingWagner ThermoQuiet product purchased. Wagner® SevereDuty™/QuickStop™ product does not qualify. Maximum product rebate is $30USD. Rebate is paid in $USD. Offer valid from 2/23/2011 through 5/31/2011. Redemption documentation must be received by 6/30/2011 atProgram Headquarters to be processed. Only one rebate check per person and/or household address (except two in Rhode Island).Purchases made using a commercial account do not qualify. Allow 10 weeks for delivery of rebate check following the date of processing ofall required documentation at Program Headquarters. Valid in the U.S. and Canada only. Void where prohibited. This offer cannot becombined or used with any other rebate offer, promotion, coupon or discount card. For rebate tracking, please visitwww.FMSmartChoice.com/rebatetracker (Be sure to have your Rebate Redemption Certificate number handy). It is your responsibility tophotocopy all your submission materials and keep those copies for your records. To resolve any potential questions or issues regarding theeligibility of your submission, you will be required to mail or fax these photocopies. Federal-Mogul Corporation is not responsible for late,lost, destroyed or misdirected mail. Use of USPS Certified Mail™ is suggested.

Thank you for purchasing Wagner ThermoQuiet!

FM Smart Choice - Wagner http://www.fmsmartchoice.com/_wagner/step_2_TQ_2011.php

1 de 1 22/03/2011 08:42 a.m.