“FTDX101 Series" Special Monitor Order Form *****While


“FTDX101 Series" Special Monitor Order Form *****While...

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“FTDX101 Series" Special Monitor Order Form Fill out and submit the following:

1

COMPLETED REBATE FORM IS REQUIRED. (One form per

2

DEALER IS REQUIRED. Note: PayPal,

3

radio) COPY OF INVOICE FROM

Model#

Check Box

Check Box

Model# FTDX101MP

FTDX101D

Credit Card receipts and statements are not acceptable

SERIAL NUMBER IS REQUIRED.

(MAKE SURE TO CORRECTLY ENTER THE SERIAL NUMBER FROM THE BOX ON THE FORM) e.g. 5Y123456

Serial Number located on UPC Label

Monitor offer is valid on NEW FTDX101 purchased between November 29th, 2019 - April 30th, 2020 from Yaesu’s authorized North America dealers only. To redeem monitor, check the box next to the radio you purchased. Only one radio per rebate form. Terms and Conditions: Offer valid only in the USA and Canada (No International).

*****While supplies last*****

rebate.

Mail to: IMPORTA! Name Address City Phone Model No.

Call Sign (optional) State / Prov. Email Serial Number

Yaesu USA "FTDX101 Monitor" P.O. Box 6042 Cypress, CA 90630

Forms must be postmarked within 45 days from date of purchase. Forms postmarked after the 45th day will not qualify.

Date of Purchase Postal/ Zip code