Purchase any of the qualifying ZOTAC products from Newegg.com and Newegg.ca between 12/13/2011 and 12/31/2011.

Fill out this form completely, following all instructions. Incomplete, illegible and/or incorrectly filled forms will be disqualified. Attach a copy of your original invoice as your PROOF OF PURCHASE*. Order confirmations and/or Packing Slips are NOT acceptable. Attach the entire PRODUCT LABEL cut from the retail box, which includes the UPC barcode, Model Number, and Serial Number. Write the promotion code you are applying for on the back of the envelope. Submit this COMPLETED FORM, PRODUCT LABEL, and PROOF OF PURCHASE to the address below within 30 DAYS OF PURCHASE.

FIRST NAME LAST NAME ADDRESS CITY ZIP E-MAIL

By providing my signature, I hereby certify the information herein is true and correct. I have read, understand, and agree with the Terms and Conditions of this promotion and my submission is in full compliance with the requirements stated on this rebate form. I understand that failure to comply with the instructions will result in disqualifiaction of my rebate request and I agree to accept the qualification decisions of ZOTAC USA as final. I also understand that re-submission of this rebate request will not be processed.

STATE PHONE

ZOTAC USA, INC. 17921 Rowland St. City of Industry, CA 91748

(OPTIONAL) For expedited rebate processing, please visit http://www.zotacusa.com/register/rebate
*PROOF OF PURCHASE must include invoice number and date, all items purchased, and prices paid for each item.

SIGNATURE

DATE

PROMOTION CODE
NE-GF6100EE-123111-15 NE-GF6100BE-123111-15 NE-NM10BE-123111-30 NE-H55ITXCE-123111-25 NE-H61MATAE-123111-20 NE-H67ITXCE-123111-20 NE-A75ITXAE-123111-20 NE-880GITXAE-123111-20 NE-M880GITXAE-123111-30

AMOUNT
$15 $15 $30 $25 $20 $20 $20 $20 $30

MODEL #
GF6100-E-E GF6100-B-E NM10-B-E H55ITX-C-E H61MAT-A-E H67ITX-C-E A75ITX-A-E 880GITX-A-E M880GITX-A-E

ITEM #
N82E16813500045 N82E16813500017 N82E16813500048 N82E16813500056 N82E16813500072 N82E16813500064 N82E16813500071 N82E16813500060 N82E16813500062

TERMS AND CONDITIONS: This is an END-USER Promotion, request from groups, organizations, dealers, distributors, resellers, and or auctions will NOT be accepted. Addresses containing P.O. Boxes will be DISQUALIFIED. ALL REBATES ARE PAID IN US DOLLARS. Rebate check will only be paid to the order of an individual. Limit to ONE rebate check per Purchase/Person/Household/Address, unless two physically bridged SLI-capable cards are purchased on the same invoice, in which case both submissions will be honored. No substitutions and/or re-submissions are allowed. Any requests received with postmarks after the required date will be automatically disqualified. ZOTAC USA is not responsible for any delayed, lost or misdirected mails. Requests with invalid or undeliverable mailing address will be denied. Rebates that have been returned by the post office as undeliverable may not be re-issued or re-mailed. The name and address on your rebate application MUST match the name and address on the receipt or invoice, otherwise the rebate is disqualified. Rebate value will not exceed purchase price. Offer is valid in the United States and Canada through participating partners ONLY, and is void where taxed, restricted, or prohibited by law. Rebate paid in US dollars only. Please keep copies of all materials submitted for your records. Originals become Manufacturers property and will not be returned. Information collected from this form may be used for future marketing events, promotions, and product news broadcast purpose and will not be given to any third party. Please allow 12-14 weeks for processing and delivery. Rebate Checks will be void if not cashed within 90 days of issuance. Warning: Fraudulent submission could result in federal prosecution under mail fraud status (Title 18, USC Section 134 1 & 134 2).
Inquiry regarding this offer received later than six months after the expiration date of this promotion will not be acknowledged. For any questions regarding current status, please contact ZOTAC USA Customer Service at the toll free number: (877) 59-ZOTAC (96822) or send an e-mail to rebate@zotacusa.com

ZOTAC USA 2011