Issue link: https://www.newlifestylesdigital.com/i/462187
57 This offer is available for new agreements signed 2-15-15 through 8-1-15. 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 page 12). 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 57 Th Th T is is i off ff f e fe f r is is i ava va v il il i a la l ble le l fo fo f r new agre re r ements ts t sig ig i ned 2-15-15 th th t ro ro r ugh 8-1-15. Pub ub u li li l s is i her re re r serve ve v s th th t e ri ri r gh gh g t to to t ca ca c ncel th th t is is i off ff f e fe f r at any ny n ti ti t m im i e. Signing up with a New LifeStyles Home Care or Hospice Provider? We owe you $50! Please complete all fi fi f elds ds d : Name: _____________________________________________________ Address: ___ __ _ __________________________________________________ City: ________________________ State: ______ Zip Code: ________ Phone: _____________________________________________________ (t (t ( his is i info fo f rm rm r ation wi wi w ll not be shared) d) d Provider Name: _______________________________________________ Date Used: _______________________________________________ Ye Y s Y s Yes e Ye Y s Ye Y ! s! s I have signed up for service. I want to take advantage of this one ti ti t m im i e off ff f e fe f r! Simply say, y, y "I found you in New LifeStyles" when you sign a new agreement with a service provider advertising in this guide (see page 12). 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, y, y Suite 1000, Dallas, TX 75204 2. Email the required information to: newlife@newlifestyles.com 3. Submit your request online: www.NewLifeStyles.com/rebate