†† Trade-mark of Sony Corporation. Used under license.
† Registered trade-mark of Sony Corporation. Used under license.
5/2006
SonyCard† Double Points/Purchase Credit Request Form
Use this form when requesting double Sony† Points OR when requesting to redeem Sony Points for a purchase credit.
This form is required for EACH purchase credit and double points request. Please complete and return in an envelope to
the address below within 90 days of the purchase date of your Sony product from an authorized Sony dealer. Before
submitting, please make copies for your future reference. Alternately, you can redeem your Sony Points by selecting
products directly fromwww.sonystyle.ca.
PLEASE PRINT CLEARLY IN INK
_____________________________________________________________________________________________
Name
Phone Number
_____________________________________________________________________________________________
Address
_____________________________________________________________________________________________
City
Province/Territory
Postal Code
Sony Card†† Account Number
NOTE: SONY MERCHANDISE MUST BE PURCHASED USING YOUR SONY CARD CREDIT CARD ACCOUNT IN
ORDER TO BE ELIGIBLE FOR THE DOUBLE SONY POINTS AND/OR PURCHASE CREDIT.
About My Sony Purchase:
Date of purchase (mm/dd/yyyy) _______________________ Retailer Name ___________________________
Purchase price (in dollars and cents, including taxes) _______________________________________________
Sony model number _________________________________________________________________________
Twelve-d igit Universal Product Code (UPC) from package __________________________________________
Description of item purchased _________________________________________________________________
About My Sony Purchase:
I am requesting a purchase credit by redeeming Sony Points for a Sony electronics item purchased.
OR
I am requesting Double Sony Points for Sony electronics merchandise purchased at an authorized dealer.
NOTE: Your double Sony Points are automatically processed for pur