REBATE FORMWe truly appreciate your support and sincerely hope you enjoy our Rum. Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone - optional (###) ### #### Message Location Purchased From * Expression(s) Purchased * MANGO CILANTRO BARREL FINISHED ESPRESSO SPICED UPLOAD PIC OF RECEIPT AND AN OPTIONAL PIC OF YOU WITH THE PRODUCT RECEIPT COPY UPLOAD * FileField; MaxSize=10000kb; Multiple; capture SEND REBATE BY * Select Method for Rebate Zelle - must have associated phone or email above PayPal - Must have associated phone or email above Check - Must have accurate mailing address above YOUR REBATE IS ON THE WAY!See You On The Beach.