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Please check-off the rebate you would like to receive:(cannot be combined with instant redeemable coupons)

10831 $65 Mail-in rebate on Philips Sonicare DiamondClean(HX9352/04 and HX9332/05KH)

10830 $55Mail-in rebate on Philips Sonicare FlexCare+(HX6921/02) rechargeable toothbrush

10829 $45Mail-in rebate on Philips Sonicare FlexCare Platinum(HX9110/02) rechargeable toothbrush

10828 $30Mail-in-rebate on HealthyWhite (HX6731/34, HX6731/02),EasyClean (HX6512/50), 2 Series plaque control Dual Handle(HX6212/17)rechargeable toothbrush

10827 $25Mail-in-rebate on Philips Sonicare AirFloss (HX8211/02)

10826 $20Mail-in-rebate on Philips Sonicare 2 Series plaque control(HX6211/04)rechargeable toothbrush

10825 $9 Mail-in-rebate on Philips Sonicare PowerUp battery toothbrush(HX3631/02)

10824 $4Mail-in-rebate on Philips Sonicare brush heads (HX3013/64,

HX6015/03, HX7023/64, HX9023/64, HX9033/64, HX6062/64)To check your rebate status: Visit www.philipsrebates.com

CONDITIONS: Offer valid on selected Philips Sonicare models purchased at KohlsDepartment Stores between 11/30/14 and 12/6/14. All requests must be postmarked

no later than 1/8/15 and include all required proof-of-purchase materials. All submitted

materials will not be returned. Limit three per individual or address. Addresses with P.O.

Boxes are not valid for this promotion. Resellers are not eligible. May not be combined

with other offers. Please keep copies of all submitted materials for your records. Lost,stolen, damaged, or expired rebate checks/items will not be replaced. Offer good only in

the USA. Void where prohibited, restricted or taxed by law. Al low 8-10 weeks for delivery.

Offer may be cancelled, rescinded, or extended at any time. Thank you for your business.

Yes, keep me up-to-date with Philips news, promotions and surveys. I confirm thatI am 14 years of age or older.

Philips values and respects your privacy, please visit us at

www.philips.com/privacypolicy to read our privacy policy.

2014 Philips Electronics North America Corporation. All Rights Reserved.PHILIPS is a registered trademark of Koninklijke Philips NV. Sonicare and the

Sonicare logo are trademarks of Philips Oral Healthcare, Inc.

Mail-in-rebate |Expiration Date 12-6-14

PLEASE PRINT

To receive your rebate on the purchase of Philips Sonicareselected product(s) by mail:

1. Purchase Philips Sonicare selected product(s) fromKohls Department Store between November 30, 2014and December 6, 2014.

2. Enclose your original dated sales receiptfor yourPhilips Sonicare product(s) with purchase price anddate circled.

3. Enclose the original UPC code cut from the bottomof the package. UPC codes that are handwritten ormechanically reproduced will not be accepted.

4. This completed official mail-in rebate form.

5. Mail all the items in a single envelope byJanuary 8, 2015to: Philips Sonicare Rebates,P.O. Box 29308, Shawnee Mission, KS 66201.Keep copies for your records.

NAME: ____________________________________

ADDRESS:__________________________________

CITY: _____________________________________

STATE:_____________________ZIP ____________

PHONE: ___________________________________

EMAIL: ____________________________________

Philips SonicareHealthyWhite(HX6731/34)

Philips SonicareFlexCare Platinum

(HX9110/02) Philips SonicareDiamondCleanBlack Edition(HX9352/04)

Philips Sonicare2 Seriesplaque

control

(HX6212/17)

Give the gift of a healthy smilethis holiday season.