SciTech Display Doctor for Linux Rebate Claim Form SciTech Software, Inc. __/___/___ 505 Wall Street MM /DD /YY Chico, CA 95928-5624 USA Phone: 530-894-8400 sales@scitechsoft.com To receive a $10 rebate on your purchase of SciTech Display Doctor for Linux, please fill out the information below and mail this form to the address shown above. Your rebate will be mailed to you within 6-8 weeks. Offer valid only on purchases of SciTech Display Doctor for Linux made during the limited preview period. This form must be submitted before December 31, 1998 in order to qualify. In order to receive the rebate, the form must be completely filled out in it's entirety. PLEASE PRINT CLEARLY OR TYPE! Name: ____________________________________________________________ Company: _________________________________________________________ Address: _________________________________________________________ City: _______________________________ State: ____________________ Country: ____________________________ Zip/Postal Code: __________ Phone Number: _______________________ Original Purchase Date: _____________ Invoice # _________________* * The invoice number is printed in the upper right corner of the invoice you receive in the mail along with the software, disks and manual.