1. All fields with “*” must be completed and accurate for all valid claims
  2. Product must be purchased according to the promotional period within US
  3. Make sure to select your purchased item(s) and Free Good Item(s)
  4. NOT ALL Free Good selectable models qualified for the Free Good Redemption you are requested for
  5. Each Free Good Item selected equal to one (1) Free Good model and item
  6. If you have more than one (1) Free Good to claim, please make sure you use the additional Free Good Item drop box to select (i.e. 2 Free Good Redemption need to fill-in 2 Free Good drop boxs)
  7. Make sure to make accurate selection based on the original promotion rules associated to the correct promo code
  8. Offer can’t be combined
  9. All documents submitted must be dated within 30 days of original invoice (with doctor’s name or practice/facility) Date for all valid claims, unless otherwise stated
  10. Please make sure to fill in all applicable purchased models and SNs in one form for all valid claims
  11. Please expect Free Good(s) to arrive in 6 to 8 weeks after submitting all valid documents
  12. Make sure to Register your purchased and promotional good(s) to keep all warranties valid
  13. Please read the Warranty section for details on purchased and free good(s) return and refund policy
  14. AG Neovo reserved the right to reject and terminate any claim and promotion without prior notice 

Product Redemption Form



    Purchased Model

    Purchased Model #*
    Excluding symbol (ie -, / !)

    Free Good Item

    Free Good Item # *
    Each Drop Box = 1 Free Good claim

    Scan and attach original complete invoice *

    Submitting format: PDF or JPG or PNG with maximum file size 1MB.

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