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Please fill out this for me if the cash back for any order is missing from your Ebates account.
For other questions to our Customer Care Team, please click here.


Store Name:*
 
Your e-mail address:*
First Name:*
Last Name:*
Order Number:*
Tracking Ticket#:
Purchase Subtotal:*

(It may take up to 30 days for a Cash Back reward to post in your account.)
Date of Purchase:*   
Additional Comments? Type in the box below:
Please copy (Ctrl-c) and paste (Ctrl-v) your Order Confirmation email from the store to help us respond more quickly.
*Required fields.
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