CODE FORMS>
SURE For Men TMF Offer #472-IB08-1030 (Receipt, Write UPC, TMF Yellow Sticker) Scottsdale, AZ 2/1/09 - 11/15/09 Postmark 12/15/09 INTERNET FORM

Price: $0.30
Availability: 50

Send in this completed form and the CRT dated between 2/1/09 - 11/15/09

with the Sure For Men product circled and the UPC code written on the Back.

Attach the TMF Sticker on this form where provided. Postmark 12/15/09  INTERNET FORM