EASY AND FREE! - Kmart - Deals on Furniture, Toys, Clothes

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Did You Know . . . ? You can visit our Web site for quick links to organizations such as those listed below that offer help and resources for family caregivers. Point your browser to www.caregiversmarketplace.com and click the tab for “Resources and Links.” Eldercare Locator www.eldercare.gov 800-677-1116 Family Caregiving 101 www.familycaregiving101.org American Diabetes Association www.diabetes.org 800-DIABETES Alzheimer’s Association www.alz.org 800-272-3900 American Heart Association www.americanheart.org 800-AHA-USA-1 American Stroke Association www.strokeassociation.org 888-4STROKE Arthritis Foundation www.arthritis.org 800-586-4045 American Cancer Society www.cancer.org 800-ACS-2345 Note: Not all items represented within this brochure may be available at all Kmart store locations. In addition, The Caregivers Marketplace may offer cash back on brands or items not listed on this form. Visit www.caregiversmarketplace.com for a list of all eligible products. 377 Comfort Shield Washcloths - Incontinence Care 32 Washcloths 1 tub ____ $1.50 $___.__ 668 Cortizone-10 Cooling Relief Gel 1 oz 1 each ____ $1.00 $___.__ 611 Cortizone-10 Creme & Ointment 1 oz 1 each ____ $1.00 $___.__ 612 Cortizone-10 Creme & Ointment 2 oz 1 each ____ $1.00 $___.__ 613 Cortizone-10 Intensive Healing Creme - Regular & Plus 1 oz 1 each ____ $1.00 $___.__ 598 Gold Bond Medicated Anti-Itch Cream - Maximum Strength 1 oz 1 each ____ $1.00 $___.__ 600 Gold Bond Ultimate Comfort/ Soothing Body Powder 10 oz 1 each ____ $1.00 $___.__ 609 Gold Bond Ultimate Lotion - Heal/ Protect/ Restore/ Soften/ Soothe 13, 14 oz 1 each ____ $1.00 $___.__ 670 Gold Bond Ultimate Lotion - Heal/ Restore/ Soften/ Soothe 4.5, 5.5 oz 1 each ____ $1.00 $___.__ 563 Polident Dentu-Creme/Gel 5.75, 5.1 oz 1 each ____ $0.50 $___.__ 559 Polident Denture 3-minute Cleanser 84, 108 Tablets 1 each ____ $1.00 $___.__ 561 Polident Denture 3-minute Cleanser 40 Tablets 1 each ____ $0.50 $___.__ 560 Polident Denture Overnight Cleanser 78, 102 Tablets 1 each ____ $1.00 $___.__ 564 Polident Fresh Cleanse 4.25 oz 1 each ____ $0.75 $___.__ 567 Super Poligrip Denture Adhesive Cream - Original, Ultra Fresh 2.4 oz 1 each ____ $0.75 $___.__ 566 Super Poligrip Extra Care with Poliseal 2.2 oz 1 each ____ $0.75 $___.__ 401 Os-Cal 500mg + D 160 Tablets 1 each ____ $1.00 $___.__ 495 Os-Cal Extra D 500 120 Caplets & Chewable Tablets1 each ____ $1.00 $___.__ 402 Os-Cal Ultra 600 Plus 120 Tablets 1 each ____ $1.00 $___.__ 409 Citrucel Caplets 100 Caplets 1 each ____ $1.00 $___.__ 410 Citrucel Caplets 164, 180 Caplets 1 each ____ $2.00 $___.__ 405 Citrucel Orange Mix 30 oz 1 each ____ $1.00 $___.__ 558 Citrucel Soft Chews Chocolate & Caramel 60 Chews 1 each ____ $1.00 $___.__ 407 Citrucel Sugar Free Orange Mix 16.9 oz 1 each ____ $1.00 $___.__ 408 Citrucel Sugar Free Orange Mix 32 oz 1 each ____ $2.00 $___.__ 616 Kaopectate Anti-Diarrheal - Regular, Cherry, Peppermint 6, 8 oz 1 each ____ $1.00 $___.__ 620 Kaopectate Stool Softener 100 Softgels 1 each ____ $1.00 $___.__ 602 Gold Bond Foot Cream 4 oz 1 each ____ $1.00 $___.__ 673 Gold Bond Pain Relieving Foot Cream 4 oz 1 each ____ $1.00 $___.__ 674 Gold Bond Ultimate Healing Foot Cream 4 oz 1 each ____ $1.00 $___.__ 636 Depend Belted Shields Extra Absorbency Buttons/Velcro 30 Shields 1 pkg ____ $0.75 $___.__ 634 Depend Fitted Maximum Absorbency - Small to Large 16 - 20 Briefs 1 pkg ____ $0.75 $___.__ 639 Depend Guards For Men Regular Absorbency 52 Guards 1 pkg ____ $0.75 $___.__ 640 Depend Underwear Adjustable - Small to X-Large 16 - 18 Underwear 1 pkg ____ $0.75 $___.__ 682 Depend Underwear Extra Absorbency - Small to Large 18 - 20 Underwear 1 pkg ____ $0.75 $___.__ 683 Depend Underwear Super Plus Absorbency - Small to X-Large 14 - 18 Underwear 1 pkg ____ $0.75 $___.__ 650 Poise Maximum Pads - Regular & Extra Coverage 12 - 14 Pads 1 pkg ____ $0.75 $___.__ 651 Poise Maximum Pads - Regular & Extra Coverage 42 - 52 Pads 1 pkg ____ $0.75 $___.__ 646 Poise Moderate Pads - Regular, Extra Coverage & With Wings 16 - 20 Pads 1 pkg ____ $0.75 $___.__ 653 Poise Moderate Pads - Regular & Extra Coverage 60 - 72 Pads 1 pkg ____ $0.75 $___.__ 647 Poise Pantiliners Very Light - Regular & Extra Coverage 24 - 26 Liners 1 pkg ____ $0.75 $___.__ 648 Poise Pantiliners Very Light - Regular & Extra Coverage 44 - 48 Liners 1 pkg ____ $0.75 $___.__ 649 Poise Ultimate Pads - Regular & Extra Coverage 30 - 36 Pads 1 pkg ____ $0.75 $___.__ 655 Poise Ultra Thin Light Pads 104 Pads 1 pkg ____ $0.75 $___.__ 652 Poise Ultra Thin Light Pads - Regular & With Wings 24 - 30 Pads 1 pkg ____ $0.75 $___.__ 502 Balanced B-100 Timed Release 60 Tablets 1 each ____ $1.00 $___.__ 680 Biotin 2500mcg 60 Softgels 1 each ____ $1.00 $___.__ 505 Calcium 500mg, 600mg + Vitamin D 100 Softgels, 300 Tablets 1 each ____ $1.00 $___.__ 506 Calcium/ Magnesium/ Zinc 300 Tablets 1 each ____ $1.00 $___.__ 507 CholestOff 60, 120 Caplets 1 each ____ $1.00 $___.__ 508 CO Q10 100mg, 200mg 30, 60 Softgels 1 each ____ $1.00 $___.__ 511 Diabetes Health Pack 30 Packets 1 each ____ $1.00 $___.__ 513 Flaxseed Oil 1000mg 100, 180 Softgels 1 each ____ $1.00 $___.__ 515 Ginkgo Biloba 120mg 30 Capsules 1 each ____ $1.00 $___.__ 516 Ginseng Chinese Red 250mg 60 Capsules 1 each ____ $1.00 $___.__ 679 Heart & Stress Defense 60 Tablets 1 each ____ $1.00 $___.__ 518 Herbs - Odorless Garlic 500mg, 1250mg 100, 200 Tablets 1 each ____ $1.00 $___.__ 535 Herbs - Soy Balance 65mg 28 Tablets 1 each ____ $1.00 $___.__ 521 Lutein 20mg 30 Softgels 1 each ____ $1.00 $___.__ 523 Maximin Pack + Lutein 30 Packets 1 each ____ $1.00 $___.__ 525 Milk Thistle 280mg 30 Capsules 1 each ____ $1.00 $___.__ 526 MoodPlus Stress Relief SAM-e 20 Tablets 1 each ____ $1.00 $___.__ 527 Multi Complete 60 Softgels 1 each ____ $1.00 $___.__ 528 Multi Daily Essential 300 Tablets 1 each ____ $1.00 $___.__ 529 Multi For Him & Her - Regular and 50+ 60 Softgels, 90 Tablets 1 each ____ $1.00 $___.__ 530 Multi Prenatal 90 Tablets 1 each ____ $1.00 $___.__ 531 Omega-3 Fish Oil 1200mg 60, 100, 180 Softgels 1 each ____ $1.00 $___.__ 536 St John’s Wort 450mg 40 Capsules 1 each ____ $1.00 $___.__ 538 Super B-Complex + Vitamin C, + Folic Acid 60 Softgels; 100, 300 Tablets 1 each ____ $1.00 $___.__ 539 TripleFlex Bone & Joint - Double & Triple Strength 50,100 Softgel;30,60,120 Caplet 1 each ____ $1.00 $___.__ 541 Vitamin B-12 1000mcg 60 Softgels 1 each ____ $1.00 $___.__ 543 Vitamin C 500mg 1000mg - Chewable, TR, + Rose Hip - 60 Softgel 60,100,150 Tablet; 250,500 Caplet 1 each ____ $1.00 $___.__ 546 Vitamin D 1000 IU 90 Softgels; 100, 200 Tablets 1 each ____ $1.00 $___.__ 547 Vitamin E 400 IU, 1000 IU 60, 100, 180, 300 Softgels 1 each ____ $1.00 $___.__ 491 Glucerna Shake Complete 8 oz - All Flavors 6 pack ____ $1.00 $___.__ 486 Ensure 8 oz - All Flavors 6 pack ____ $1.00 $___.__ 490 Ensure High Calcium 8 oz - All Flavors 6 pack ____ $1.00 $___.__ 489 Ensure High Protein 8 oz - All Flavors 6 pack ____ $1.00 $___.__ 487 Ensure Plus 8 oz - All Flavors 6 pack ____ $1.00 $___.__ 586 Aspercreme Pain Relieving Gel Heat, Creme, Lotion 2.5, 3, 6 oz 1 each ____ $1.00 $___.__ 590 Icy Hot Chill Stick 1.75 oz 1 each ____ $1.00 $___.__ 589 Icy Hot Cream 1.25 oz 1 each ____ $1.00 $___.__ 631 Icy Hot No Mess Applicator 2.9 oz 1 each ____ $1.00 $___.__ 593 Icy Hot Patch Back Large/X-Large - 3, 5/box 1 each ____ $1.00 $___.__ 591 Icy Hot Patch - Extra Strength - Arm, Neck, Leg Small - 5/box 1 each ____ $1.00 $___.__ 594 Icy Hot PM Medicated Lotion, Patch 4 oz, 6/box 1 each ____ $1.00 $___.__ 588 Icy Hot Vanishing Gel, Cream, Balm 2.5, 3, 3.5 oz 1 each ____ $1.00 $___.__ 569 Ecotrin - Regular, Adult Low Strength 300, 365 Tablets 1 each ____ $2.00 $___.__ 570 Ecotrin - Regular, Adult Low Strength 125, 150 Tablets 1 each ____ $1.00 $___.__ Incontinence Care - Disposable Briefs, Underwear & Pads Enter total quantity here > > Enter total $ amount here > > Nutrition - General Nutrition Item # Product Name Qty Total $ Cash Back Unit Pack Item # Product Name Qty Total $ Cash Back Unit Pack Pain Relief - Internal Pain Relief - External Questions about how to get cash back? Call: 800-888-0889 [email protected] The Caregivers Marketplace 8801 W. Heather Avenue Milwaukee, WI 53224 Bathing & Skin Care - Medicated Skin Care Denture Products - Cleaners & Adhesives Dietary Supplements - Calcium Supplements Digestive Health Foot Care Nature Made ® - Vitamins and Herbs Nutrition - Diabetes Nutrition Nature Made ® - Vitamins and Herbs (cont) cash back form + CASH BACK CHECK! EASY AND FREE! receipts =

Transcript of EASY AND FREE! - Kmart - Deals on Furniture, Toys, Clothes

Did You Know . . . ?You can visit our Web site for quick links to organizationssuch as those listed below that offer help and resourcesfor family caregivers. Point your browser to

www.caregiversmarketplace.comand click the tab for

“Resources and Links.”

Eldercare Locatorwww.eldercare.gov

800-677-1116

Family Caregiving 101www.familycaregiving101.org

American Diabetes Association

www.diabetes.org800-DIABETES

Alzheimer’s Associationwww.alz.org

800-272-3900

American Heart Association

www.americanheart.org800-AHA-USA-1

American Stroke Association

www.strokeassociation.org888-4STROKE

Arthritis Foundationwww.arthritis.org

800-586-4045

American Cancer Societywww.cancer.org800-ACS-2345

Note: Not all items represented within this brochure may be available at all Kmartstore locations. In addition, The Caregivers Marketplace may offer cash back onbrands or items not listed on this form. Visit www.caregiversmarketplace.com fora list of all eligible products.

377 Comfort Shield Washcloths - Incontinence Care32 Washcloths 1 tub ____ $1.50 $___.__

668 Cortizone-10 Cooling Relief Gel1 oz 1 each ____ $1.00 $___.__

611 Cortizone-10 Creme & Ointment1 oz 1 each ____ $1.00 $___.__

612 Cortizone-10 Creme & Ointment2 oz 1 each ____ $1.00 $___.__

613 Cortizone-10 Intensive Healing Creme - Regular & Plus1 oz 1 each ____ $1.00 $___.__

598 Gold Bond Medicated Anti-Itch Cream - Maximum Strength1 oz 1 each ____ $1.00 $___.__

600 Gold Bond Ultimate Comfort/ Soothing Body Powder10 oz 1 each ____ $1.00 $___.__

609 Gold Bond Ultimate Lotion - Heal/ Protect/ Restore/ Soften/ Soothe13, 14 oz 1 each ____ $1.00 $___.__

670 Gold Bond Ultimate Lotion - Heal/ Restore/ Soften/ Soothe4.5, 5.5 oz 1 each ____ $1.00 $___.__

563 Polident Dentu-Creme/Gel5.75, 5.1 oz 1 each ____ $0.50 $___.__

559 Polident Denture 3-minute Cleanser84, 108 Tablets 1 each ____ $1.00 $___.__

561 Polident Denture 3-minute Cleanser40 Tablets 1 each ____ $0.50 $___.__

560 Polident Denture Overnight Cleanser78, 102 Tablets 1 each ____ $1.00 $___.__

564 Polident Fresh Cleanse4.25 oz 1 each ____ $0.75 $___.__

567 Super Poligrip Denture Adhesive Cream - Original, Ultra Fresh2.4 oz 1 each ____ $0.75 $___.__

566 Super Poligrip Extra Care with Poliseal2.2 oz 1 each ____ $0.75 $___.__

401 Os-Cal 500mg + D160 Tablets 1 each ____ $1.00 $___.__

495 Os-Cal Extra D 500120 Caplets & Chewable Tablets1 each ____ $1.00 $___.__

402 Os-Cal Ultra 600 Plus120 Tablets 1 each ____ $1.00 $___.__

409 Citrucel Caplets100 Caplets 1 each ____ $1.00 $___.__

410 Citrucel Caplets164, 180 Caplets 1 each ____ $2.00 $___.__

405 Citrucel Orange Mix30 oz 1 each ____ $1.00 $___.__

558 Citrucel Soft Chews Chocolate & Caramel60 Chews 1 each ____ $1.00 $___.__

407 Citrucel Sugar Free Orange Mix16.9 oz 1 each ____ $1.00 $___.__

408 Citrucel Sugar Free Orange Mix32 oz 1 each ____ $2.00 $___.__

616 Kaopectate Anti-Diarrheal - Regular, Cherry, Peppermint6, 8 oz 1 each ____ $1.00 $___.__

620 Kaopectate Stool Softener100 Softgels 1 each ____ $1.00 $___.__

602 Gold Bond Foot Cream4 oz 1 each ____ $1.00 $___.__

673 Gold Bond Pain Relieving Foot Cream4 oz 1 each ____ $1.00 $___.__

674 Gold Bond Ultimate Healing Foot Cream4 oz 1 each ____ $1.00 $___.__

636 Depend Belted Shields Extra Absorbency Buttons/Velcro30 Shields 1 pkg ____ $0.75 $___.__

634 Depend Fitted Maximum Absorbency - Small to Large 16 - 20 Briefs 1 pkg ____ $0.75 $___.__

639 Depend Guards For Men Regular Absorbency52 Guards 1 pkg ____ $0.75 $___.__

640 Depend Underwear Adjustable - Small to X-Large 16 - 18 Underwear 1 pkg ____ $0.75 $___.__

682 Depend Underwear Extra Absorbency - Small to Large 18 - 20 Underwear 1 pkg ____ $0.75 $___.__

683 Depend Underwear Super Plus Absorbency - Small to X-Large 14 - 18 Underwear 1 pkg ____ $0.75 $___.__

650 Poise Maximum Pads - Regular & Extra Coverage12 - 14 Pads 1 pkg ____ $0.75 $___.__

651 Poise Maximum Pads - Regular & Extra Coverage42 - 52 Pads 1 pkg ____ $0.75 $___.__

646 Poise Moderate Pads - Regular, Extra Coverage & With Wings16 - 20 Pads 1 pkg ____ $0.75 $___.__

653 Poise Moderate Pads - Regular & Extra Coverage60 - 72 Pads 1 pkg ____ $0.75 $___.__

647 Poise Pantiliners Very Light - Regular & Extra Coverage24 - 26 Liners 1 pkg ____ $0.75 $___.__

648 Poise Pantiliners Very Light - Regular & Extra Coverage44 - 48 Liners 1 pkg ____ $0.75 $___.__

649 Poise Ultimate Pads - Regular & Extra Coverage30 - 36 Pads 1 pkg ____ $0.75 $___.__

655 Poise Ultra Thin Light Pads104 Pads 1 pkg ____ $0.75 $___.__

652 Poise Ultra Thin Light Pads - Regular & With Wings24 - 30 Pads 1 pkg ____ $0.75 $___.__

502 Balanced B-100 Timed Release60 Tablets 1 each ____ $1.00 $___.__

680 Biotin 2500mcg60 Softgels 1 each ____ $1.00 $___.__

505 Calcium 500mg, 600mg + Vitamin D100 Softgels, 300 Tablets 1 each ____ $1.00 $___.__

506 Calcium/ Magnesium/ Zinc300 Tablets 1 each ____ $1.00 $___.__

507 CholestOff60, 120 Caplets 1 each ____ $1.00 $___.__

508 CO Q10 100mg, 200mg30, 60 Softgels 1 each ____ $1.00 $___.__

511 Diabetes Health Pack30 Packets 1 each ____ $1.00 $___.__

513 Flaxseed Oil 1000mg100, 180 Softgels 1 each ____ $1.00 $___.__

515 Ginkgo Biloba 120mg30 Capsules 1 each ____ $1.00 $___.__

516 Ginseng Chinese Red 250mg60 Capsules 1 each ____ $1.00 $___.__

679 Heart & Stress Defense60 Tablets 1 each ____ $1.00 $___.__

518 Herbs - Odorless Garlic 500mg, 1250mg100, 200 Tablets 1 each ____ $1.00 $___.__

535 Herbs - Soy Balance 65mg28 Tablets 1 each ____ $1.00 $___.__

521 Lutein 20mg30 Softgels 1 each ____ $1.00 $___.__

523 Maximin Pack + Lutein30 Packets 1 each ____ $1.00 $___.__

525 Milk Thistle 280mg30 Capsules 1 each ____ $1.00 $___.__

526 MoodPlus Stress Relief SAM-e20 Tablets 1 each ____ $1.00 $___.__

527 Multi Complete60 Softgels 1 each ____ $1.00 $___.__

528 Multi Daily Essential300 Tablets 1 each ____ $1.00 $___.__

529 Multi For Him & Her - Regular and 50+60 Softgels, 90 Tablets 1 each ____ $1.00 $___.__

530 Multi Prenatal90 Tablets 1 each ____ $1.00 $___.__

531 Omega-3 Fish Oil 1200mg60, 100, 180 Softgels 1 each ____ $1.00 $___.__

536 St John’s Wort 450mg40 Capsules 1 each ____ $1.00 $___.__

538 Super B-Complex + Vitamin C, + Folic Acid60 Softgels; 100, 300 Tablets 1 each ____ $1.00 $___.__

539 TripleFlex Bone & Joint - Double & Triple Strength50,100 Softgel;30,60,120 Caplet 1 each ____ $1.00 $___.__

541 Vitamin B-12 1000mcg60 Softgels 1 each ____ $1.00 $___.__

543 Vitamin C 500mg 1000mg - Chewable, TR, + Rose Hip - 60 Softgel60,100,150 Tablet; 250,500 Caplet 1 each ____ $1.00 $___.__

546 Vitamin D 1000 IU90 Softgels; 100, 200 Tablets 1 each ____ $1.00 $___.__

547 Vitamin E 400 IU, 1000 IU60, 100, 180, 300 Softgels 1 each ____ $1.00 $___.__

491 Glucerna Shake Complete8 oz - All Flavors 6 pack ____ $1.00 $___.__

486 Ensure8 oz - All Flavors 6 pack ____ $1.00 $___.__

490 Ensure High Calcium8 oz - All Flavors 6 pack ____ $1.00 $___.__

489 Ensure High Protein8 oz - All Flavors 6 pack ____ $1.00 $___.__

487 Ensure Plus8 oz - All Flavors 6 pack ____ $1.00 $___.__

586 Aspercreme Pain Relieving Gel Heat, Creme, Lotion2.5, 3, 6 oz 1 each ____ $1.00 $___.__

590 Icy Hot Chill Stick1.75 oz 1 each ____ $1.00 $___.__

589 Icy Hot Cream1.25 oz 1 each ____ $1.00 $___.__

631 Icy Hot No Mess Applicator2.9 oz 1 each ____ $1.00 $___.__

593 Icy Hot Patch BackLarge/X-Large - 3, 5/box 1 each ____ $1.00 $___.__

591 Icy Hot Patch - Extra Strength - Arm, Neck, LegSmall - 5/box 1 each ____ $1.00 $___.__

594 Icy Hot PM Medicated Lotion, Patch4 oz, 6/box 1 each ____ $1.00 $___.__

588 Icy Hot Vanishing Gel, Cream, Balm2.5, 3, 3.5 oz 1 each ____ $1.00 $___.__

569 Ecotrin - Regular, Adult Low Strength300, 365 Tablets 1 each ____ $2.00 $___.__

570 Ecotrin - Regular, Adult Low Strength125, 150 Tablets 1 each ____ $1.00 $___.__

Incontinence Care - Disposable Briefs, Underwear & Pads

Enter total quantity here > >

Enter total $ amount here > >

Nutrition - General Nutrition

Item # Product Name Qty Total $CashBack

UnitPack Item # Product Name Qty Total $

CashBack

UnitPack

Pain Relief - Internal

Pain Relief - External

Questions about how to get cash back?

Call: 800-888-0889

[email protected]

The Caregivers Marketplace8801 W. Heather Avenue

Milwaukee, WI 53224

Bathing & Skin Care - Medicated Skin Care

Denture Products - Cleaners & Adhesives

Dietary Supplements - Calcium Supplements

Digestive Health

Foot Care

Nature Made® - Vitamins and Herbs

Nutrition - Diabetes Nutrition

Nature Made® - Vitamins and Herbs (cont)

cash back form +

CASH BACK CHECK!

EEAASSYY AANNDD FFRREEEE!!

receipts =

Brought to you by

2009 Cash Back Request Form

Questions about how to get cash back? Call: 800-888-0889

[email protected]

The Caregivers Marketplace8801 W. Heather Avenue

Milwaukee, WI 53224

More brandslistedinside

Baby & Juvenile Diapers

Item # Product Name Qty Total $CashBack

UnitPack

665 GoodNites Boy Boxer/Girl Shorts - Small to X-Large 11-14 Pants 1 pkg ____ $0.75 $___.__

660 Huggies Little Swimmers - Small to Large 10 - 12 Swim Pants 1 pkg ____ $0.75 $___.__

659 Huggies Overnites Step 3 - 6 - Jumbo Pack23 - 36 Diapers 1 pkg ____ $0.75 $___.__

658 Huggies Snug & Dry Step 1 - 6 - Jumbo Pack26 - 56 Diapers 1 pkg ____ $0.75 $___.__

656 Huggies Supreme Gentle Care Step 1 - 2 - Jumbo Pack40 - 44 Diapers 1 pkg ____ $0.75 $___.__

657 Huggies Supreme Natural Fit Step 3 - 6 - Jumbo Pack22 - 35 Diapers 1 pkg ____ $0.75 $___.__

661 Pull-Ups Learning Designs Boy/Girl - 2T - 5T - Jumbo Pack21 - 29 Training Pants 1 pkg ____ $0.75 $___.__

663 Pull-Ups Night*Time Boy/Girl - 2T - 4T - Jumbo Pack24 - 26 Training Pants 1 pkg ____ $0.75 $___.__

625 Balmex Diaper Rash Cream4 oz tube 1 each ____ $1.00 $___.__

95 Comfort Bath Washcloths8 Washcloths 1 pack ____ $0.75 $___.__

96 Comfort Shampoo Cap1 cap ____ $0.75 $___.__

474 Cottonelle Fresh Folded Moist WipesTub/Refill of 42 1 tub/refill ____ $0.50 $___.__

476 Cottonelle Fresh Folded Moist WipesTravel Pack of 10 1 travel pack ____ $0.25 $___.__

Baby & Juvenile - Diapers

Baby & Juvenile - Skin Care

Bathing & Skin Care - Cleansing Products

Your Savings Number: DateIf you don’t know or have a savings number, we’ll sign you up when you send in your receipts.

First Name M.I. Last Name

Street Address

PO Box (if applicable)

City State ZIP Code +4

(Area Code) Phone Number

E-Mail Address (E-mail is the only way we communicate program updates.)

I hereby certify that the information that I have entered on this form is true and accurate, and I have not,nor will I, submit any of these items to Medicare or any other third party for reimbursement.

Sign Here:

The Caregivers MarketplaceTM 2009 Program Offer is good only in the United States (50 states & DC). Offers subject to the following terms and conditions: All materials submitted become property of The Caregivers Marketplace and will not be returned .No group, organizational or institutional cash back rebate forms will be honored. • Savings remitted in US Dollars. • If terms and conditions are not met, check will not be sent. • We reserve the right to limit quantities to normal household consumption. • Void where prohibited or restricted by law. • Altered rebate materials are invalid. • The Caregivers Marketplace reserves the right to refuse to honor the rebate if The CaregiversMarketplace is not satisfied that these terms and conditions have been met OR if The Caregivers Marketplace suspects a submission is fraudulent.Fraudulent submission of rebates could result in federal prosecution under US mail fraud statutes (18 USC, Sections 1341 and 1342).

Check will be mailed to the address provided – customer is responsible for providing any change in address.We are not responsible for late, misdirected, mutilated or postage due mail. • Only products listed on this form are eligible for cash back.

The Caregivers Marketplace reserves the right to change offers at any time.

Check one: Male

Female

22000099 CCaasshh BBaacckk RReebbaattee FFoorrmm3 Easy Steps to Get Your Cash Back Check:

1 Purchase just five (5) or more eligible products.2 Fill out this cash back rebate form completely.3 Send in the cash back rebate form with original cash register receipts–

Please circle the date and the name for each eligible product on the receipt.No photocopies. Receipts must be dated in 2009.Note: Only submit one cash back rebate form per envelope. There is no limit to the number of products or receipts that may be included on each form. Requests must be postmarked by January 31, 2010. Valid only on products purchased in the United States. Allow 4-6 weeks for your cash back check to arrive.

Caregivers Marketplace DOES NOT SELL products.We provide cash back rebates for purchases made anywhere the products are sold.

Check if this is a new address

Please complete this section AND the inside of the form.

Return this completed form to:The Caregivers Marketplace

8801 W. Heather Avenue Milwaukee, WI 53224

Help us serve you better!Please tell us about your

caregiving situation.

I am currently caring for someone with:

(check all that apply)

Alzheimer's/DementiaCancerChronic painChronic wounds (pressure sores)DiabetesHeart diseaseIncontinenceLimited mobilityMultiple sclerosis (MS)Respiratory diseaseSpecial nutritional needsOther:___________________

– or –

I care for a child under age 5 I care for myself

DEPEND® is proud to provide information and inspiration

for those who care for loved ones with incontinence.

On Caring Connections(http://caregiver.depend.com)

you will find articles, expert answers and a supportive community of caregivers.

Our Partner for Incontinence Care

www.caregiversmarketplace.com

Brands eligible for Cash Back:

get cash back on these brands:

Unlimited cash back.

No membership fee required.

Q1-09

Underpants that protect bedwetting children discreetly and with comfort.

Diapers that offer customized and comfortable protection for babies and toddlers.

Long-lasting pain relief from sore muscles, aching joints and arthritis.

Includes products for diarrhea, upset stomach,indigestion, heartburn and stool softening.

Vitamins, supplements and herbals that set the standard for potency and purity.

Proven effective in multiple studies, Os-Cal helps keep bones stronger.

Protects women of any age who experience loss of bladder control.

Keeps dentures, toothbrushes, retainers andmouth guards clean and fresh.

The perfect training pants for kids who are learning to toilet train.

Patented Ooze-Control Tip®

helps people placetheir denture adhesive precisely.

For more information about these products, please visitwww.caregiversmarketplace.com

External rub works fast for hours of relief frommuscle and joint pain.

Treats diaper rash, other minor skin irritations and helps prevent recurring skin conditions.

Fiber therapy that dissolves in liquid and won'tcause excess gas.

Makes bathing, shampooing and incontinence clean up easier.

For temporary itch relief from minor skin irriations, inflammation and rash.

Moist wipes that deliver a cleaner, fresher feeling than dry toilet paper.

Provides comfortable and effective bladder control protection for men and women.

Adaily aspirin supplement for heart health and prevention of heart attack or disease.

Adrink that offers balanced nutrition and essential vitamins for good health.

Shakes, Bars and Cereal designed to helpmanage blood sugar and lower A1C levels.

Acomplete line of medicated, anti-itch skin care products.

Our Partner for Incontinence Care

CGFORM-KMT

KMT