|   | To receive your mail-in rebate after purchasing qualifying item(s): |   |   |   |   |   |   |   | TERMS AND CONDITIONS - Offer good on purchase of items listed below at | 
|   | 1) Include 1 offer per envelope. For multiple purchases within the same offer #, where allowed, please submit only one envelope. | participating Bed Bath & Beyond® stores between the start date and end date | 
|   |   | a. | This completed form. |   |   |   |   |   |   |   |   |   |   |   |   | applicable to those items. No certificates from groups, clubs or organizations will | 
|   |   |   |   |   |   |   |   |   |   |   |   |   |   | be honored. Offer void if correct proof(s) of purchase and this original form along | 
|   |   | b. | Original UPC(s) from each product package. |   |   |   |   |   |   |   |   |   |   |   | 
|   |   |   |   |   |   |   |   |   |   |   |   |   | with a copy of your dated sales receipt or packing slip and complete name, | 
|   |   | c. The original or a copy of your cash register receipt or packing slip dated on or |   |   |   |   |   |   |   |   | 
|   |   |   |   |   |   |   |   |   |   | address and zip code are not included. Offer good for U.S. & Puerto Rico | 
|   |   |   | between the offer’s start date and end date specific to the items purchased as |   |   |   |   |   |   |   |   | residents only. Void where taxed, restricted and prohibited by law. Rebate offer | 
|   |   |   | shown below. |   |   |   |   |   |   |   |   |   |   |   |   | expires if the rebate check is not cashed within 90 days of the check date, after | 
|   | 2) MAIL TO: Bed Bath & Beyond, Offer # ________ |   |   |   |   |   |   |   |   |   |   |   | which time Bed Bath & Beyond® will have no further obligation to you. Bed Bath & | 
|   | (Offer # is located below the promotion |   |   |   |   |   |   |   | 
|   |   |   |   |   |   |   |   | Beyond® is not responsible for lost, destroyed, misdirected, postage due or | 
|   |   |   | PO Box 540034, El Paso TX, 88554-0034 | vendor name. Format will be XX-XXXXX.) |   |   |   |   |   |   |   | delayed mail or for any information provided by you to Bed Bath & Beyond®. All | 
|   |   | NAME_____________________________________________________________________ |   |   | requests must be postmarked by the Postmark By date shown below specific to | 
|   |   |   |   | MetaBankTM pursuant to a license from Visa U.S.A. Inc. Terms and Conditions | 
|   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   | each item purchased. The Bed Bath & Beyond Visa® Prepaid Card is issued by | 
|   |   | ADDRESS__________________________________________________________________ |   |   | apply to the card. Cards can be used at any merchants that accept Visa debit | 
|   |   |   |   | cards. Bed Bath & Beyond reserves the right to substitute a check of equal value | 
|   |   | CITY_______________________________________STATE_________ZIP______________ |   |   | in lieu of a Visa prepaid card at its discretion Please allow 8-10 weeks for delivery. | 
|   |   |   |   | Please keep copies of all materials for your records. Rebate does not include tax | 
|   |   | PHONE____________________________________________________________________ |   |   | collected on rebated portion of purchase price. | 
|   |   |   |   | opr m ti nal materials from Bed Bath & Beyond® and the promotion vendor please check here. | 
|   |   |   |   |   |   |   |   |   |   |   |   |   |   |   |   | If you would like to join our mailing list and receive in-store coupons, circular, emails and other | 
|   |   | EMAIL______________________________________@_____________________________ |   |   | Rebate Customer Service: 866-561-7654 | 
|   |   |   | (Will be used for rebate status updates and email communications if you opt in to the right.) |   |   |   |   |   |   |   | Rebate Tracksite: www.bedbathrebates.com | 
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|   |   |   | Purchase Required |   |   |   | Reward |   |   |   |   |   | Purchase Required |   |   | Reward | 
|   | AEROBED (MATTRESS) |   |   |   |   |   |   |   | PHILLIPS NORELCO |   |   |   |   | 
|   |   | 11-53221 Valid: 1/1/12 - 9/30/12 | Postmark By: 10/31/12 | (Limit 2 per Household) |   |   | 12-91226 | Valid: 6/1/12 - 12/31/12 | Postmark By: 1/31/13 | (Limit 1 per Product per Household) |   | 
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|   | AeroBed Extra Bed In A Minute Twin Size |   |   |   | $10 Bed Bath & Beyond Gift Card |   |   | Norelco Shaver Heads (HQ9, HQ8, RQ10 or RQ11) |   |   | $5 mail-in rebate |   | 
|   |   |   |   |   |   |   |   |   |   |   | Norelco Shaver Head (RQ12) |   |   |   | $10 mail-in rebate |   | 
|   | THERAPEDIC (MATTRESS) / COHESION PRODUCTS |   |   |   |   |   |   |   |   |   |   |   |   | 
|   |   | 12-80887 Valid: 5/1/12 - 9/15/12 | Postmark By: 10/30/12 | (Limit 1 per Household) |   |   | 12-87626 | Valid: 5/1/12 - 9/30/12 | Postmark By: 10/30/12 | (Limit 1 per Household) |   | 
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|   | Therapedic 9" Twin Air Mattress |   |   |   | $20 Bed Bath & Beyond Gift Card |   |   | Norelco Stubble Beard Trimmer (QT4021) |   |   | $5 mail-in rebate |   | 
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