Xerox Phaser 7400 Cashback Claim Form (PDF, 473KB) 7400N 7400Cashback

User Manual: PHASER PHASER 7400N

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Xerox Phaser® 7400
Cashback
Claim Form
To claim your cashback as part of our Xerox Phaser 7400 Cashback promotion, complete this
form then post, fax or email it back to us with a copy of your proof of purchase using the contact
details at the bottom of this form.
For this claim to be valid all information must be completed.
YOUR DETAILS:
Title First Name
Last Name
Job Title Company
House number/ Name
Street
Town
City
County Post code
Country
Telephone
Email address
Please tick if you’d be happy to receive further information from Xerox via email.
Please tick if you do NOT wish to receive any future information from Xerox.
YOUR RESELLER’S DETAILS:
Reseller Name
Street name
Town City
County Post Code
Country Telephone
PRINTER DETAILS:
Printer Model
Serial Number
Purchase Date
Invoice Number
Purchase Price
BANK ACCOUNT DETAILS:
Provide the details of the bank account we need to transfer your Xerox Cashback payment to.
(Cashback will only be paid to the customer details shown on the proof of purchase invoice).
Bank Name
Account Holder
IBAN Number Sort Code
Bank Address
Bank Town / City Bank Country
TERMS & CONDITIONS
WHAT TO DO NEXT:
Once you have completed this claim form, send it
back to us with a copy of your invoice as proof of
purchase either by:
a. Email to XeroxRewards-engb@birch.co.uk
b. Fax to 0118 9 121201
c. Post to the following address;
Xerox Phaser 7400 Cashback Promotion,
c/o Birch Marketing Services,
ILEX Unit 16,
Mulberry Business Park,
Fishponds Road
Wokingham
Berkshire, RG41 2GY
WHAT HAPPENS NEXT:
Once we have received your claim form and
validated your proof of purchase we will transfer
your Cashback payment to the bank account
provided within 30 days of approving your claim.
FUTURE XEROX PROMOTIONS:
If you would like us to inform you of any future
Xerox promotions and products or would like any
further information about Xerox products and
services please tick here
Declaration:
I have read, understood and agree to the terms
and conditions of the promotion.
Signature
Date
Print name
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TERMS & CONDITIONS:
1. When purchasing a qualifying Phaser® 7400 the end user qualifies for the Xerox Phaser 7400
Cashback promotion.
2. The Xerox Phaser 7400 Cashback promotion (hereinafter referred to as the ‘Offer’) is offered to end
users purchasing a qualifying Xerox Phaser 7400 printer
3. The following Phaser 7400 product configurations are eligible for the Offer with the corresponding
cashback values shown alongside each model.
Xerox Phaser 7400 Model Xerox Part Number Cashback Value per printer
Phaser 7400N 7400V_N or 7400V_NM £500
Phaser 7400DN 7400V_DN or 7400V_DNM £600
Phaser 7400DT 7400V_DT or 7400V_DTM £700
Phaser 7400DX 7400V_DX or 7400V_DXM £800
4. The Offer is available on products purchased between 20th August – 30th September 2007 or whilst
stocks last.
5. This Offer is only available to end users in the UK.
6. These Terms and Conditions set out the entire scope of the agreement between Xerox Limited and the
end user in relation to this Offer.
7. By participating in this Offer, end users agree to waive any right to claim any ambiguity or error in these
Terms and Conditions, and further agree to abide by, and be bound to, these Terms and Conditions.
The decisions of Xerox Limited are binding and final on all matters related to this Offer.
8. To redeem this Offer, end users must provide a completed claim form and proof of purchase in the
form of a copy sales receipt or copy of invoice showing qualifying products purchased, the purchase
price, the date of purchase, invoice number, product serial number and the reseller’s name and
address. Proof of purchase can be a fax copy or photocopy. The participant must not send original
receipts or invoices as these will not be returned. Please send your claim form and proof of purchase:
• by Email to XeroxRewards-engb@birch.co.uk
• by Fax to 0118 9 121201
• by post to
Xerox Phaser 7400 Cashback Promotion
c/o Birch Marketing Services
ILEX Unit 16
Mulberry Business Park
Fishponds Road
Wokingham
Berkshire RG41 2GY
9. All incomplete claim forms will be returned to the end user and must be correctly completed before the
claim is considered valid. Claims will be deemed invalid if proof of purchase, signatures, product
descriptions, serial numbers, prices or details for payment of cashback have not been included.
10. Xerox Limited will not accept responsibility for claims that have been lost, delayed in the post,
misdirected, damaged or insufficiently stamped. Proof of posting will not be accepted as proof of
delivery.
11. Xerox Limited reserve the right to audit all claims to ensure that the terms and conditions have been
adhered to and to request relevant additional information and supporting documents.
12. All claims must be submitted by the end user customer. Resellers, Concessionaires or other channel
partners of Xerox Limited may not submit claims on behalf of their customers
13. The closing date for this Offer is 30th September 2007. All purchases must be made and invoiced by this
date. Claims must be made within 14 days of purchase and all claims must be received at Xerox Limited
no later than 14th October 2007. Xerox Limited accepts no responsibility for lost, late or misdirected
mail.
2
TERMS & CONDITIONS:
14. Please allow up to 30 days for payment of cashback upon receipt of proof of purchase. Cashback
payments will be made via BACS only.
15. This Offer may not be used in conjunction with any other Xerox Limited promotion or when purchasing a
qualifying printer as part of a negotiated bid unless Xerox Limited has provided its written approval in
advance.
16. Claimants should keep a copy of the terms and conditions, claim form and proof of purchase for their
records.
17. This is an end-user offer only. Xerox resellers and distributors cannot participate in this promotion.
18. If, for whatever reason, the printer purchased is returned or money refunded Xerox Limited may arrange
for the cashback to be refunded by the end user. Failure to do so will result in legal action.
19. Your cashback will be provided direct from Xerox Limited and can not be obtained from your reseller.
20. Every effort has been made to ensure that the information in this document is accurate. Xerox Limited
shall not be responsible for printing errors or any defects in the promotional item. Data Protection Act
1998. Data collected from any participant will be used solely by Xerox Limited and its affiliates. Xerox
may disclose your personal information only in the following instances: (i) when required by law; (ii) to
protect its rights or property; and (iii) when the information is to be shared, in general terms, with its
advertisers and partners.
21. Xerox Limited reserves the right to terminate the Offer or may vary, change or waive the application of
these Terms and Conditions at any time, without prior notice.
22. Should claimants have any query regarding the process of their claim they may contact the Xerox
helpline at XeroxRewards-engb@birch.co.uk
23. The sponsor of this Offer is: Xerox (UK) Ltd, Xerox Limited, Bridge House, Oxford Road, Uxbridge,
Middlesex UB8 1 HS.
24. The terms and conditions of this Offer are governed by [English] law and the courts of [England] shall
have exclusive jurisdiction to hear disputes hereunder

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