10% Rebate - Lowe's · previous sales. Offer cannot be combined with any other Samsung authorized rebate program or with any other coupon or discount. Purchase three (3) or more qualifying

Other terms and conditions. Requests from groups or organizations will not be honored. Fraudulent submission of multiple requests could result in federal prosecution under the U.S. Mail Fraud Statutes (18 USC, Section 1341 and 1342). Offer good in U.S.A. only. Void where prohibited, taxed or restricted by law. If you do not receive your prepaid card within 6-8 weeks, please call 1- 877- 204 -1223 or visit Lowes.com/Rebates. This certificate may not be reproduced, traded or sold. Please keep a copy of this form for future reference. Samsung Visa Prepaid Cards are issued by MetaBank®, Member FDIC, pursuant to a license from Visa U.S.A. Inc. This card does not have cash access and can be used anywhere Visa debit cards are accepted. Card valid through expiration date shown on front of card. Cardholders are subject to terms and conditions of the card as set forth by the issuing bank.

Check the status of your rebate at Lowes.com/Rebates

Name _________________________________________________________________________________________

Address _______________________________________________________________________________________

City _________________________________________________ State ____________ Zip Code _______________

Mobile Phone ( )_____________________ Email ______________________________________________

1. Purchase three (3) or more qualifying Samsung appliances from a participating Lowe's store between 01/02/2020 and 03/04/2020. Submit all required information via mail-in or online to receive a rebate in the form of a Samsung Visa Prepaid Card by mail. Requests must be postmarked by 04/01/2020.

- Claims postmarked after this date will not be honored.2. Limit one (1) Samsung Visa Prepaid Card per household.3. Please allow 6-8 weeks for processing. If you do not receive

your rebate after 8 weeks visit Lowes.com/Rebates, or you may call 1-877-204-1223.

4. Please keep a copy of all materials submitted for your records.5. Mail this completed form along with a photocopy of your cash

register receipt showing purchase of qualifying product(s).

10% Rebatevia Samsung Visa® Prepaid Card by mail

*Purchase price is calculated before taxes and after discounts, if any. Products purchased must be from three different product categories. Eligible categories are laundry, refrigerators, ranges, dishwashers, wall ovens, cooktops, OTR or range hoods. Offer excludes Samsung Chef Collection, countertop microwaves, vacuums and all accessories in addition to clearance or previous sales. Offer cannot be combined with any other Samsung authorized rebate program or with any other coupon or discount.

Purchase three (3) or more qualifying Samsung appliances to be eligible to receive a rebate in the amount of 10% of the pre-tax purchase price on a Samsung Visa Prepaid Card when you submit via mail or online.

To receive your rebate: MAIL TO:Lowe's Samsung Appliance Suite RebateOffer # 268177PO Box 750616El Paso, TX 88575-0616

Sales DateStore #Invoice #Offer # 268177*If purchased online, please wait until order is received.

*SUBMIT ONLINE:

See reverse side for list of qualifying appliance models.

Page 1 of 4

QUALIFYING SAMSUNG APPLIANCES

RF22N9781SGRF22N9781SRRF28N9780SGRF28N9780SRRF23M8590SGRF23M8590SRRF23M8570SGRF23M8570SRRF22R7551DTRF22R7551SGRF22R7551SRRF28R7551DTRF28R7551SGRF28R7551SRRF265BEAESGRF265BEAESRRF22K9381SGRF22K9381SRRF28K9380SGRF28K9380SRRF23J9011SGRF23J9011SRRF28K9070SGRF28K9070SRRF23M8090SGRF23M8090SRRF22R7351DTRF22R7351SGRF22R7351SRRF28R7351DTRF28R7351SGRF28R7351SRRF23M8070DTRF23M8070SGRF23M8070SRRF24R7201DTRF24R7201SGRF24R7201SRRF28R7201DTRF28R7201SGRF28R7201SR

RF25HMEDBSGRF25HMEDBSRRF25HMEDBWW

RF28R6301DTRF28R6301SGRF28R6301SRRF23R6301SRRF23R6201DTRF23R6201SGRF23R6201SR

Model # Stock Item #

103090610389701038971103897275177685527384549484549513923761392377139237313923751392374

845502845503780370780371780368780369691972632833780372780373855274855275129570912957081295707875932

143834284549684549712957061295705

780377726801580486135733313573341357335135733913573361357337888362

SOS Item #

Refrigerator

1030905

1392372

689595712503746656

751817488377

689594

876275

129570412957031295702

876372

1295701129570012956991295698714680511090

887926

1350876

RF23R6201WWRF28R6241SRRF28R6201DTRF28R6201SGRF28R6201SRRF28R6202WWRF26J7500SRRF263TEAESGRF263TEAESRRF263BEAESGRF263BEAESRRF263BEAEWWRF261BEAESGRF261BEAESRRF261BEAEWWRF260BEAESGRF260BEAESRRF260BEAEWWRF220NCTASGRF220NCTASRRF220NCTAWWRF20HFENBSGRF20HFENBSRRF20HFENBWWRF18HFENBSGRF18HFENBSRRF18HFENBWWRH25H5611SGRH25H5611SRRH25H5611WWRS22HDHPNSRRS22HDHPNWWRS25H5111SGRS25H5111SRRS25H5111WWRS22T5561SGRS22T5561SRRS27T5561SGRS27T5561SRRS22T5201SGRS22T5201SRRS27T5200SGRS27T5200SRRS27T5200WWRT21M6215SGRT21M6215SRRT21M6215WWRT21M6213SGRT21M6213SRRT21M6213WWRT18M6215SG


1357338

13573301357331

1357332632834

697438693237580483580482805355121872124039805356121887883880273196947118272538195886365226965227295886265227365227078037812188796328506067466120256884247239518381841654832165483316548371654838165482916548311654834

16548361484995148499614849936907096912366907101484998

SOS Item #

Refrigerator

1341474

668701751820185563751819

730693186006186010772684434627

719466

648958

568253

723983568255568256

1654839

1654830

1654835

490498847229

RT18M6215SRRT18M6215WWRT18M6213SGRT18M6213SRRT18M6213WW


14849971484994690711690706691237

SOS Item #

Refrigerator

490586

847230

Page 2 of 4

DV42H5000EWDV42H5000GWWV60M9900AWDVE60M9900WDVG60M9900WWV60M9900AVDVE60M9900VDVG60M9900VWV55M9600AWDVE55M9600WDVG55M9600WWV55M9600AVDVE55M9600VDVG55M9600VWA52M8650AWDVE52M8650WDVG52M8650WWA52M8650AVDVE52M8650VDVG52M8650VWA52M7750AWDVE52M7750WDVG52M7750WWA52M7750AVDVE52M7750VDVG52M7750VWA50R5400AVDVE50R5400VDVG50R5400VWA50R5400AWDVE50R5400WDVG50R5400WWA50R5200AWDVE50R5200WDVG50R5200WWA45N3050AWDV40J3000EWDV40J3000GWWA54R7600AVDVE54R7600VDVG54R7600VWA54R7600ACDVE54R7600CDVG54R7600CWA54R7600AWDVE54R7600WDVG54R7600WWA54R7200AWDVE54R7200WDVG54R7200WWA54R7200AVDVE54R7200VDVG54R7200V

835625835626835627835628835629835630835631835632835633835634835635835636835650835651835652835653835654835655835641835642835643844407844408844409

593661632882156958215695831569584

141486614148671414868141486914148701414871141487214148731414874

566002566003835579835580835581740399835583835584835585835586835587835588835589835590835604835605835606835607835608835609

8444048444058444061258845125884612588471258848125884912588501258851125885212588531100392669553669554141487814148791414880143843014384311438432

WF50K7500AVDV50K7500EVDV50K7500GVWF50K7500AWDV50K7500EWDV50K7500GWWW22N6850QXDVE22N6850XDV22N6850HX

WW22K6800AWDV22K6800EWDV22N6800HWWF45K6500AVDV45K6500EVDV45K6500GVWF45K6500AWDV45K6500EWDV45K6500GWWF45R6300ACDVE45R6300CDVG45R6300CWF45R6300AVDVE45R6300VDVG45R6300VWF45R6300AWDVE45R6300WDVG45R6300WWF50R8500AWDVE50R8500WDVG50R8500WWF50R8500AVDVE50R8500VDVG50R8500VWF45R6100ACDVE45R6100CDVG45R6100CWF45R6100APDVE45R6100PDVG45R6100PWF45R6100AWDVE45R6100WDVG45R6100WWF42H5000AW


7123677123687123757147697147707147711157136115713711571387831877831881157139712393712395717633714772714773714774134568513456861345687

141486314148641414865

SOS Item #

Laundry

780047780048780049780050780051780052

780053780054780055780056780057780058

126006212600631260064126006512600661260067

141487514148761414877125883912588401258841150152415015251501526125884212588431258844566001

Page 3 of 4

DV42H5000EWDV42H5000GWWV60M9900AWDVE60M9900WDVG60M9900WWV60M9900AVDVE60M9900VDVG60M9900VWV55M9600AWDVE55M9600WDVG55M9600WWV55M9600AVDVE55M9600VDVG55M9600VWA52M8650AWDVE52M8650WDVG52M8650WWA52M8650AVDVE52M8650VDVG52M8650VWA52M7750AWDVE52M7750WDVG52M7750WWA52M7750AVDVE52M7750VDVG52M7750VWA50R5400AVDVE50R5400VDVG50R5400VWA50R5400AWDVE50R5400WDVG50R5400WWA50R5200AWDVE50R5200WDVG50R5200WWA45N3050AWDV40J3000EWDV40J3000GWWA54R7600AVDVE54R7600VDVG54R7600VWA54R7600ACDVE54R7600CDVG54R7600CWA54R7600AWDVE54R7600WDVG54R7600WWA54R7200AWDVE54R7200WDVG54R7200WWA54R7200AVDVE54R7200VDVG54R7200V

835625835626835627835628835629835630835631835632835633835634835635835636835650835651835652835653835654835655835641835642835643844407844408844409

593661632882156958215695831569584

141486614148671414868141486914148701414871141487214148731414874

566002566003835579835580835581740399835583835584835585835586835587835588835589835590835604835605835606835607835608835609

8444048444058444061258845125884612588471258848125884912588501258851125885212588531100392669553669554141487814148791414880143843014384311438432

WF50K7500AVDV50K7500EVDV50K7500GVWF50K7500AWDV50K7500EWDV50K7500GWWW22N6850QXDVE22N6850XDV22N6850HX

WW22K6800AWDV22K6800EWDV22N6800HWWF45K6500AVDV45K6500EVDV45K6500GVWF45K6500AWDV45K6500EWDV45K6500GWWF45R6300ACDVE45R6300CDVG45R6300CWF45R6300AVDVE45R6300VDVG45R6300VWF45R6300AWDVE45R6300WDVG45R6300WWF50R8500AWDVE50R8500WDVG50R8500WWF50R8500AVDVE50R8500VDVG50R8500VWF45R6100ACDVE45R6100CDVG45R6100CWF45R6100APDVE45R6100PDVG45R6100PWF45R6100AWDVE45R6100WDVG45R6100WWF42H5000AW

7123677123687123757147697147707147711157136115713711571387831877831881157139712393712395717633714772714773714774134568513456861345687

141486314148641414865

780047780048780049780050780051780052

780053780054780055780056780057780058

126006212600631260064126006512600661260067

141487514148761414877125883912588401258841150152415015251501526125884212588431258844566001

Model # Stock Item # SOS Item #

Laundry

MC17J8000CGMC17J8000CSME21K7010DGME21K7010DSME21R706BATME21M706BAGME21M706BASME21R7051SGME21R7051SSME20H705MSSME19R7041FTME19R7041FGME19R7041FSME19R7041FBME19R7041FWME18H704SFGME18H704SFSME16H702SESME16H702SEBME16H702SEWME16K3000AS


821969694339712356 719737 13136098947008947021365009136500866866214399241521815

14399211439922693234

663233663234719739

SOS Item #

Microwave

7532137804367804371313610884089

631209

1499909

753250589359589363589362589361780438

NE58K9850WGNE58K9850WSNE58R9560WGNE58K9560WSNE58F9710WSNE58K9500SGNE58F9500SSNE58R9431STNE58R9431SGNE58R9431SSNE58N9430SGNE58K9430SSNE58R9311SSNE59J7850WGNE59J7850WSNE59M6850SGNE59M6850SSNE59N6650SGNE59N6650SSNE59R6631STNE59R6631SGNE59R6631SSNE59N6630SGNE59N6630SSNE59R4321SGNE59R4321SSNE59M4320SGNE59M4320SSNE59M4320SBNE59M4320SWNE59T4311SSNE59M4310SSNY58J9850WSNX58K9850SGNX58K9850SSNX58K9500WGNX58H9500WSNX58R9421STNX58R9421SGNX58R9421SSNX58N9420SGNX58M9420SSNX58R9311SSNX58K7850SGNX58K7850SSNX58M6850SGNX58M6850SSNX58M6650WGNX58M6650WSNX58R6631STNX58R6631SG


710824 712345 1313611719731 657133712346

1296034136501313650121175595719736 143992075474166642669010069009798619898619912960321339552133955198619698619713395501339549690098690099783288783284

840665702723719733 719734719735 6125661296035136501113650101175596

1439923719747 719748 69009569009491154289470312960331339548

SOS Item #

Range

780425780426

5024117804275024091296028

780428888137694051670654845532 845533

1296026

986194986195

845534 845535

8387707466607804307804317804326318691296029

845536888138780433780434 845537 845538884090

1296027

NX58R6631SSNX58M6630SGNX58M6630SSNX58T5601SGNX58T5601SSNX58T5601SBNX58T5601SWNX58J5600SGNX58H5600SSNX58M5600SBNX58M5600SWNX58R4311SGNX58R4311SS


1339547894704894701

69399312734692303592303612960311296030

SOS Item #

Range

884091

751811617237

1261928

NV51R5511SSNV51R5511SGNV51R5511DSNV51R5511DGNV51K6650SSNV51K6650SGNV51K6650DSNV51K6650DGNV51K7770SSNV51K7770SGNV51K7770DSNV51K7770DG


1601245160124016012481601239732189732181732213732204732191732190732215732194

SOS Item #

Wall Oven

817849771504785076785074

741206

738230

Page 4 of 4

NQ70R5511DSNQ70R5511DGNQ70M6650DSNQ70M6650DGNQ70M7770DSNQ70M7770DG


16012541601241783286783285783287783289

SOS Item #

Microwave/Wall Oven Combo

741207

NZ30R5330RKNZ36R5330RKNZ30K6330RSNZ30K6330RGNZ36K6430RSNZ36K6430RGNZ30K7570RSNZ30K7570RGNZ36K7570RSNZ36K7570RGNZ30K7880USNZ30K7880UGNZ36K7880USNZ36K7880UGNA30R5310FSNA30R5310FGNA36R5310FSNA36R5310FGNA30N6555TSNA30N6555TGNA36N6555TSNA36N6555TGNA30N7755TSNA30N7755TGNA36N7755TSNA36N7755TG


16012441601252732195732196732197732198732200732199732201732206732208732210732211732203160124916012431601251160125311446521144653114465411446551144656114465711446581144659

SOS Item #

Cooktop

823562741205

773992

785077

819738

819740

819739

819741

NK30R5000WSNK30R5000WGNK36R5000WSNK36R5000WGNK30K7000WSNK30K7000WGNK36K7000WSNK36K7000WGNK30N7000UGNK30N7000USNK36N7000UGNK36N7000US


16012501601246160124216012477335437335457335447335421083052108305310830501083051

SOS Item #

Range Hood

744110

773985

DW80R9950UTDW80R9950UGDW80R9950USDW80R7060UGDW80R7060USDW80R7061UGDW80R7061USDW80R5060UGDW80R5060USDW80R5061UTDW80R5061UGDW80R5061USDW80N3030USDW80N3030UBDW80N3030UWDW80R2031USDW60R2014US


13035501303548130354914105541410555

14105531410552

141055814105561410557

1147764114776513367761452299

SOS Item #

Dishwasher

130354713035451303546

1354367

1354366

1147763

1336775

Documents

10% Rebate - Lowe's · previous sales. Offer cannot be combined with any other Samsung authorized rebate program or with any other coupon or discount. Purchase three (3) or more qualifying