Claim form

Thank you for downloading the Sony Ericsson Xperia Cashback claim form. This form will help you claim your 25 cashback for your purchase of a new Xperia arc, arc S or ray handset. Simply print this document and follow the instructions within the claim form carefully. If you have any queries in relation to your claim, please phone us on +44 (0) 1379 649 169 For all other queries, please contact the Sony Ericsson customer service team on +44 (0) 8705 237237

Cashback claims from Sony Ericsson are valid on all UK purchases from 12 December to 31 December 2011. Cashback from Sony Ericsson
How do I claim my cashback?
Simply fill in your printed claim form, then return it to us before 31 January 2012, together with your proof of purchase.

How will I receive my cashback?

You will receive a cheque within 28 days of the redemption period closing. Please ensure we receive your claim form by 31 January 2012.

Personal Details Title: ____________________________________________________________________________ First name: _________________________________________________________________________ Last name: ___________________________________________________________________________ (The cheque will be addresses to the claimant named here) Address 1: __________________________________________________________________________ Address 2: __________________________________________________________________________ Postcode: __________________________________________________________________________ Phone/Mobile: _______________________________________________________________________ Email address: _______________________________________________________________________ Date of birth DD/MM/YYYY:_______________________________________________________________

About your purchase Date of purchase DD/MM/YYYY: __________________________________________________________ Store name and location: ________________________________________________________________ Please fill in the boxes below with the full IMEI number of the product(s) you have purchased, circle the model type, and indicate what drove your purchase IMEI number: __________________________________________________________________________ {The IMEI number is a unique handset reference which can be found on the handset box} Model Type Xperia arc (LT15i) Xperia arc S (LT18i) Xperia ray (ST18i) Recommended in store

Saw an advert Prompted by social media Word of mouth Cashback incentive

Finding your IMEI and model code The model code and the IMEI can be found on the barcode label on the product packaging and on your phone. The model number can also be found on a label underneath your phone battery. The IMEI can be displayed on your phone by typing *#06#

Please tick to show you have remembered to include: Model number Original sales receipt(s) IMEI

Please tick here to confirm you have read and agree to the Terms & Conditions of this promotion Your signature: ________________________

Your data Personal information which you supply will be processed by Sony Ericsson UK Ltd, and its third party service for the purposes of administering this promotion. If you agree, we would also like to use this information to advise you of offers and services which may be of interest to you from Sony Ericsson UK Ltd and other Sony Group companies worldwide. On your request to Sony Ericsson UK Limited your personal information that we hold will be provided, corrected, amended or deleted (as required by law). If you have any questions regarding our use of your personal information, please email us through our website at: http://www.sonyericsson.com/cws/corporate/common/contact CHILDREN UNDER THE AGE OF 14 MUST OBTAIN PARENTAL OR GUARDIAN CONSENT BEFORE PROVIDING ANY PERSONAL DATA. For more information on Sony Ericssons privacy statement, visit: http://www.sonyericsson.com/cws/common/legal/privacy?cc=gb&lc=en Detach and return this form to: Sony Ericsson Xperia Cashback, PO Box 100, Diss, Norfolk, IP98 1SY