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cut the UPC code from the product carton
*Do not forget it has to be our 10 tablet presentation.
*Please ensure that the product you buy is UPC code 853030002021.
Print the online rebate form
Download the form![](imgs/number-3-img.jpg)
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Mail it to us
Mail us the completed rebate form, product UPC Code and Walmart receipt for the product purchase to: Belmora LLC, 3033 Wilson Blvd. Suite 700 Arlington, VA 22201.