ENTER REBATE CODE NUMBER HERE
       

                Date                   Order Number   Total Order Amount    
      

STEP 2 - TELL US WHERE TO MAIL YOUR CHECK .... 

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

STEP 3 - PRESS THE SUBMIT BUTTON (Only Once Please) sending it to SUPERLAND. 

COPY & PASTE: Copy the page showing the items, cost and order number, then cut and paste it here.
(copy by hi-lighting the order form information, then select the copy button or press the Control and C keys simultaneously)
(paste by placing your cusor in the box below, then select the paste button or press the Control and V keys simultaneously).

2. COPY AND PASTE YOUR ORDER FORM HERE:

be sure all the needed information is complete:

i.e. NAME, MAILING ADDRESS, EMAIL, ORDER NUMBER, ITEMS AND COST.

3. IF THE INFORMATION IS NOT COMPLETE OR YOU CAN'T CUT AND PASTE, 
GO TO and FILL OUT REBATE FORM BELOW.

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2. Please provide the following product information:

	Product Description	Item Number	Brand	Cost
Item #1
Item #2
Item #3
Item #4
Item #5
Item #6
Item #7
Item #8
Item #9
Item #10

3. Additional Instructions, Comments ... ?

Please press SUBMIT ONLY ONCE