ESLI Rebate Offer

Limited Time Offer

ESLI Surveillance Cash Back Savings

To Be Completed By Customer:

Customer's Name

Address:

City:

All Fields Are Required!

State:

Country:

Zip:

Form E-33482R

Phone:

E-Mail Address:

ESLI Purchase #:

Order Date:

Eligible Items: (check all that apply)

PTZ026

PTZ021

ACC-995

ECLD16

ECLPS16dcb

EL-5100MIV

CSR/PRO6105

AT198

PVC1

WTGPRSEX

1200-MLD5

PRS9900

MP1700B

ALP/PRO

M-TFT1700

By submitting this form I/we hereby understand and accept all ESLI requirements for receipt of this Cash Rebate.

FORM MUST BE RECEIVED NO LATER THEN SEPTEMBER 20, 2008. LATE SUBMISSIONS WILL NOT BE ACCEPTED!

How you get your cash back from ESLI...

Fill in all information on this form. Incomplete certificates will be returned to customer.
Include your ESLI purchase number.
Submit this form via web or mail (If you would like to mail this form click the print button then send to address below) no later then January 31, 2008. All mailed forms MUST BE eStamped or postmarked by January 31, 2008
Allow eight to ten weeks for delivery. Keep a record of when you submitted this form. If not received after ten weeks, call this toll-free number Monday through Friday from 9:00AM to 4:00PM Eastern Time: 866-768-9646.

To mail form send to:

ESLI Surveillance

Attn: Rebates Center

565 Plandome Road, PO Box 237

Manhasset, NY 11030

This offer cannot be combined with any other rebate offer.

This offer is limited to ONE rebate on each listed eligible model purchased from ESLI ONLY from October 01, 2007 through December 31, 2007.

Offer void where prohibited, taxed or restricted by law.

Offer is no longer valid if check is not cashed within 90-days of date of check.