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To receive your refund, please mail: A completed rebate form (this form), The original UPC code of the CLEARASIL product purchased (cut UPC from package), Enclose the original, dated cashier register receipt dated between 07/18/2016 and 1/31/2017 (To receive full refund, rebate form must be submitted within 3 months of purchase date). Note offer expires 1/31/2017. Indicate the product name and UPC code, with the purchase price circled to: