Issue link: https://www.newlifestylesdigital.com/i/258739
75 This offer is available for new agreements signed 3-1-14 through 8-31-14. Publisher reserves the right to cancel this offer at any time. Signing up with a New LifeStyles Home Care or Hospice Provider? We owe you $50! Please complete all fields: Name: _____________________________________________________ Address: _____________________________________________________ City: ________________________ State: ______ Zip Code: ________ Phone: _____________________________________________________ (this information will not be shared) Provider Name: _______________________________________________ Date Used: _______________________________________________ Yes! I have signed up for service. I want to take advantage of this one time offer! Simply say, "I found you in New LifeStyles" when you sign a new agreement with a service provider advertising in this guide (see pages 12-14). Once 8 hours of service is verified, we will send you a check for $50! Submit your information via one of these methods: 1. Mail this form to: New LifeStyles, 4144 N. Central Expressway, Suite 1000, Dallas, TX 75204 2. Email the required information to: newlife@newlifestyles.com 3. Submit your request online: www.NewLifeStyles.com/rebate AUS s-s 14_2000 master 2.0 1/31/14 7:49 AM Page 75