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/ Customer Rebate
Customer Rebate Form
Full Name
Address
Province
Abra
Agusan del Norte
Agusan del Sur
Aklan
Albay
Angeles
Antique
Apayao
Aurora
Bacolod
Baguio
Basilan
Bataan
Batanes
Batangas
Benguet
Biliran
Bohol
Bukidnon
Bulacan
Butuan
Cagayan
Cagayan de Oro
Caloocan
Camarines Norte
Camarines Sur
Camiguin
Capiz
Catanduanes
Cavite
Cebu
Cebu City
Cotabato
Cotabato City
Dagupan
Davao City
Davao de Oro
Davao del Norte
Davao del Sur
Davao Occidental
Davao Oriental
Dinagat Islands
Eastern Samar
General Santos
Guimaras
Ifugao
Iligan
Ilocos Norte
Ilocos Sur
Iloilo
Iloilo City
Isabela
Kalinga
La Union p
Laguna
Lanao del Norte
Lanao del Sur
Lapu-Lapu
Las Piñas
Leyte
Lucena
Maguindanao del Norte
Maguindanao del Sur
Makati
Malabon
Mandaluyong
Mandaue
Manila
Marikina
Marinduque
Masbate
Misamis Occidental
Misamis Oriental
Mountain Province
Muntinlupa
Naga
Navotas
Negros Occidental
Negros Oriental
Northern Samar
Nueva Ecija
Nueva Vizcaya
Occidental Mindoro
Olongapo
Oriental Mindoro
Ormoc
Palawan
Pampanga
Pangasinan
Parañaque
Pasay
Pasig
Pateros
Puerto Princesa
Quezon
Quezon City
Quirino
Rizal
Romblon
Samar
San Juan
Santiago
Sarangani
Siquijor
Sorsogon
South Cotabato
Southern Leyte
Sultan Kudarat
Sulu
Surigao del Norte
Surigao del Sur
Tacloban
Taguig
Tarlac
Tawi-Tawi
Valenzuela
Zambales
Zamboanga City
Zamboanga del Norte
Zamboanga del Sur
Zamboanga Sibugay
Postal Code
Mobile Phone
Email Address
Product Model
20mm (Model F050)
24mm (Model F051)
35mm (Model F053)
90mm (Model F072)
17-28mm (Model A046)
17-50mm (Model A068)
20-40mm (Model A062)
28-75mm (Model A063)
70-300mm (Model A047)
35-150mm (Model A058)
70-180mm (Model A065)
50-300mm (Model A069)
150-500mm (Model A057)
50-400mm (Model A067)
28-200mm (Model A071)
28-300mm (Model A074)
11-20mm (Model B060)
18-300mm (Model B061)
17-70mm (Model B070)
Authorized Dealer
Store Branch
OR / SI Number
Purchase Date
E-wallet
GCash
PayMaya
Account Name
Account Number
Bank Details
Please choose a bank name...
BDO Unibank Inc. (Banco de Oro)
Metropolitan Bank & Trust Co. (Metrobank)
Bank of the Philippine Islands (BPI)
Philippine National Bank (PNB)
Land Bank of the Philippines (Landbank)
China Banking Corporation (Chinabank)
Security Bank Corporation (Security Bank)
Development Bank of the Philippines (DBP)
Rizal Commercial Banking Corporation (RCBC)
Union Bank of the Philippines, Inc. (UnionBank)
Account Name
Account Number
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