P & G Rebate Email Form

Please allow 8 weeks for processing your original submission. If the 8 weeks has passed and you wish to check the status of your Gillete request please complete and submit this brief form. You will receive a reply via email within 1-2 business days. Please fill out all available information as it will assist in processing this inquiry. Thank you.

* Indicates required fields.
Name *
Address *
City *
State *	Alaska Alabama Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code *
E-Mail Address *
Telephone Number
Product Purchased
Date Purchased	(mm/dd/yyyy)
Date Request Mailed	(mm/dd/yyyy)
Total Qualifying Purchase Amount (Format 99999.99)	$
Additional Comments
Please click the submit button one time only. You will see a confirmation when your message has been sent.
This information will be used solely for the purpose of retrieving your rebate information.