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OrajelTM Single Dose Cold Sore product Try It Free MIR up to $21.99 exp 4/30/16

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Maximum refund check amount not to exceed $21.99. Duplicate requests will not be honored. Limit one refund per family, address or household. Keep a copy of this completed form, your cash register receipt and barcode for your records. The refund check amount will be up to $21.99 for the purchase of one (1) OrajelTM Single Dose Cold Sore product while supplies last. Offer void if completed original refund form, original dated cash register receipt and UPC from product package are not included. VOID WHERE PROHIBITED, LICENSED, TAXED OR RESTRICTED BY LAW. Fraudulent submission could result in federal prosecution under mail fraud statutes (Title 18, Sections 1341 & 1342). Offer valid for USA residents only. Allow 4-6 weeks for processing. Reproductions, sale, trading or purchase of this certificate or your proof of purchase is prohibited. Cannot be combined with any other offer. Church & Dwight Co., Inc. will not be liable for lost, late, misdirected, mutilated, illegible, incomplete or postage due mail. For refund inquiries, please visit online at InmarRebates.com. 2015 Church & Dwight Co., Inc. ORAJEL is a trademark of Church & Dwight Co., Inc. Unless expressly prohibited by law, payee authorizes reasonable dormancy fees deducted if check not cashed within 180 days.

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