Xerox Phaser® 6180MFP
Valid for qualifying products purchased and invoiced between October 1st 2008 and December 31st 2008
To claim your Cashback Reward as part of our Xerox Phaser 6180MFP Cashback promotion, complete this form then
post, fax or email it back to us with a copy of your proof of purchase using the contact details at the bottom of this form.
For this claim to be valid all information must be completed.
Please tick if you’d be happy to receive further information from Xerox via email. Please tick if you do NOT wish to receive any future information from Xerox.
YOUR RESELLER’S DETAILS:
Invoice Number Purchase Price
Remember to provide a copy of the invoice with this completed claim form.
WHAT TO DO NEXT:
Once you have completed this claim form, send it back to us
with a copy of your invoice as proof of purchase either by:
a. Email to XeroxRewardsemail@example.com
b. Fax to +44 (0)118 9121201
c. Post to the following address;
Xerox Phaser 6180 MFP Cashback Rewards Programme
c/o Birch Marketing Services,
ILEX Unit 16,
Mulberry Business Park,
Berkshire, RG41 2GY
WHAT HAPPENS NEXT:
Once we have received your claim form and validated your
proof of purchase we will transfer your Cashback Rewards
payment to the bank account provided within 30 days of
approving your claim.
BANK ACCOUNT DETAILS:
Provide the details of the bank account we need to transfer
your Xerox Cashback payment to. (Cashback Rewards will
only be paid to the customer details shown on the proof of
FUTURE XEROX PROMOTIONS:
If you would like us to inform yo