+Conversation Bundle (ComPilot Air II/RemoteMic v. 2.0)

You Belong ConnectedPhonak Programs

Purchase a set of qualifying Premium (90) Belong HIs and choose ONE accessory bundle/receiver kit OR TWO accessories/related products

Purchase a set of qualifying Advanced (70) Belong HIs and choose ONE accessory/related product

Available bundles/receiver kits:

+Entertainment Bundle (ComPilot II/TVLink II)

Available accessories/related products:

Get Phonak accessories/related products with a binaural purchase of select wireless Premium, Advanced or Standard Phonak Belong™ HIs

RIC xReceiver Kit

Purchase a set of Standard (50) Belong HIs and choose ONE accessory/related product

TVLink II RemoteMic v. 2.0 Mercury-Free Batteries

Available accessories/related products:

D-Dry+

Terms & Conditions: Commitment form must accompany order. Qualifying units include select wireless Premium, Advanced or Standard Bolero, Naida, or Sky Belong hearing instruments. Non-wireless products are not compatible with these accessories. Non-wireless products include Virto B-10 NW O, Virto B-312 NW O and Virto B-Titanium. Purchased units are at contracted pricing only; no further discounts can be applied. Purchased units are exchangeable. Offer cannot be applied to previous purchases. Promo cannot be combined with any other offers or discounts. Does not apply to any third-party sales or to any federal or state funded health care program, including the Medicaid program. If hearing instruments are returned, the free accessories/related products must also be returned. Terms, conditions and expiration dates subject to change at any time. While supplies last; subject to product availability.

Expiration Date: March 31, 2020 | Program Code: 57995

SAP Account#: 20

Account Name:

Date:

Authorized Signature:

Phonak Representative:

ComPilot II

ComPilot Air II

TVLink II

PilotOne II

DECT II

D-Dry+ RemoteMic v. 2.0

Mercury-Free Batteries

Phonak Bolero B90 P QTY: COLOR: SP QTY: COLOR:

Phonak Bolero B70 P QTY: COLOR: SP QTY: COLOR:

Phonak Bolero B50 P QTY: COLOR: SP QTY: COLOR:

Phonak Naída B90 SP QTY: COLOR: UP QTY: COLOR:

Phonak Naída B70 SP QTY: COLOR: UP QTY: COLOR:

Phonak Naída B50 SP QTY: COLOR: UP QTY: COLOR:

Order your wireless instruments: (For custom orders, please include the promo code 57995 in the “Special Instructions” section of the order form)

Phonak Sky B90 P QTY: COLOR: SP QTY: COLOR: UP QTY: COLOR:

Phonak Sky B70 P QTY: COLOR: SP QTY: COLOR: UP QTY: COLOR:

Phonak Sky B50 P QTY: COLOR: SP QTY: COLOR: UP QTY: COLOR:

You Belong ConnectedPhonak Programs

Available Colors

01 Beige

P1 Sand Beige

P2 Amber Beige

P3 Sandalwood

P4 Chestnut

P5 Champagne

P6 Silver Gray

P7 Graphite Gray1

P8 Velvet Black

Q1 Petrol

Q2 Electric Green2

Q3 Caribbean Pirate2

M6 Lava Red2

M7 Blue Ocean2

M8 Majesty Purple2

T3 Precious Pink2

T7 Alpine White

1 N/A on Sky2 Sky only

Choose your accessories/related products:

Premium (90) Belong HIs choose ONE bundle/receiver kit:

Conversation Bundle (ComPilot Air II / RemoteMic v. 2.0) RIC xReceiver Kit

Entertainment Bundle (ComPilot II / TVLink II)

OR choose TWO accessories/related products:

ComPilot II D-Dry+

ComPilot Air II 3 cartons of Power One size 10 batteries

TVLink II 3 cartons of Power One size 312 batteries

DECT II 3 cartons of Power One size 13 batteries

RemoteMic v. 2.0 3 cartons of Power One size 675 batteries

PilotOne II

Advanced (70) Belong HIs choose ONE accessory/related product:

ComPilot II D-Dry+

ComPilot Air II 3 cartons of Power One size 10 batteries

TVLink II 3 cartons of Power One size 312 batteries

DECT II 3 cartons of Power One size 13 batteries

RemoteMic v. 2.0 3 cartons of Power One size 675 batteries

PilotOne II

Standard (50) Belong Hls choose ONE accessory/related product:

TVLink II 3 cartons of Power One size 10 batteries

RemoteMic v. 2.0 3 cartons of Power One size 312 batteries

D-Dry+ 3 cartons of Power One size 13 batteries

3 cartons of Power One size 675 batteries

You Belong ConnectedPhonak Programs

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