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Cognitive Advantage DLX Trade-Up Program – Certification Form
Mail rebate check payable to:
Company Name:
Contact Name:
Contact Tel:
Email Address:
Address:
City:
State:
Zip/Postal Code:
Advantage DLX product purchased from:
Bluestar
Ingram Micro
Scansource
Other Reseller:
About trade-in desktop printer:
Trade in Manufacturer
Trade in Model Number
New DLX product purchased (model number)
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