ADA1061 Step Out Sling Pack. ADA1064 Healthy Carb Diabetes Cookbook CERTIFICATE NUMBER AUTHORIZATION CODE EXPIRATION DATE

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Janice Simmons
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1 LEVEL 2 REDEMPTION CERTIFICATE / DER FM $200 - $ ADA1060 4"x6" Spinning Frame ADA1061 Step Out Sling Pack ADA1062 Flavour It 20oz Glass Water Bottle ADA1063 Cross Teaser Puzzle ADA1064 Healthy Carb Diabetes Cookbook ADA1065 Stop Diabetes Long Sleeve T-Shirt Sizes S M L XL 2XL CERTIFICATE NUMBER AUTHIZATION CODE EXPIRATION DATE

2 LEVEL 3 REDEMPTION CERTIFICATE / DER FM $350 - $ ADA1066 totes Auto Open/Close Umbrella ADA1067 Step Out Cooler ADA1068 Sensor Pedometer ADA1069 Brookstone Hydro Fitness Kit ADA1070 Vista ipad Stand with Sleeve ADA1071 Step Out Beach Towel CERTIFICATE NUMBER AUTHIZATION CODE EXPIRATION DATE

3 LEVEL 4 REDEMPTION CERTIFICATE / DER FM $600 - $ ADA1072 Coby SNAPP Mini Camcorder ADA1073 Philips Multimedia Speakers 2.0 ADA1074 Men's Stop Diabetes Performance Pullover Sizes M L XL 2XL ADA1075 Women's Stop Diabetes Performance Pullover Sizes S M L XL ADA1076 Hamilton Beach BrewStation 6-Cup Coffeemaker ADA1077 Step Out Computer Portfolio ADA1078 Mainstreet Classics Table Top Air Hockey CERTIFICATE NUMBER AUTHIZATION CODE EXPIRATION DATE

4 LEVEL 5 REDEMPTION CERTIFICATE / DER FM $1,000 - $1, ADA1079 Vera Bradley The Jet Setter 3 Piece Set ADA1080 Coby 7" KYROS Tablet ADA1081 Triumph Sports Lighted Bag Toss Tournament ADA1082 Bolle Chase Sunglasses ADA1083 Philips Docking System for ipod /iphone ADA1084 Pacific Bicycles 20" Exploit - Boy's ADA1085 Pacific Bicycles 20" Exploit - Girl's CERTIFICATE NUMBER AUTHIZATION CODE EXPIRATION DATE

99 ADA1086 Stop Diabetes North End Sport

5 LEVEL 6 REDEMPTION CERTIFICATE / DER FM $2,000 - $2, ADA1086 Stop Diabetes North End Sport Jacket - Men's Sizes M L XL 2XL ADA1087 Stop Diabetes North End Sport Jacket - Women's Sizes S M L XL ADA1088 Reel 10" Digital Photo Frame with MP3 Player & Internal Speakers ADA1089 Apple ipod nano 8GB ADA1090 Garmin 4.3" GPS Navigator ADA1091 HP Photosmart e-all-in-one Printer ADA1092 Pacific Bicycles 26" Chromium - Men's ADA1093 Pacific Bicycles 26" Chromium - Women's CERTIFICATE NUMBER AUTHIZATION CODE EXPIRATION DATE

6 LEVEL 7 REDEMPTION CERTIFICATE / DER FM $3,000 - $4, ADA1094 Xscape Designs Torino 3, Sportline & Sleeping Bag Combo ADA1095 Breville IKON Multi Speed Juicer ADA1096 Michele Tahitian Jelly Bean Carousel Watch ADA1097 Step Out 5-Piece Luggage Set ADA1098 RCA Home Theater Sound Bar ADA1099 Nintendo Wii Console with New Super Mario Brothers ADA1100 Samsung 19" LED HDTV CERTIFICATE NUMBER AUTHIZATION CODE EXPIRATION DATE

7 LEVEL 8 REDEMPTION CERTIFICATE / DER FM $5,000 - $9, ADA1101 FujiFilm 16MP Digital Camera Bundle ADA1102 FURLA ELISABETH Medium Shoulder Slouch ADA1103 Samsung Full HD Camcorder ADA1104 RCA 10" Portable Blu-Ray Player ADA1105 Bose OE2 Audio Headphones/Apple ipod touch 32GB Bundle ADA1106 Fat Cat Tirade MMXI Foosball Table ADA1107 KitchenAid Artisan Designer Series Stand Mixer CERTIFICATE NUMBER AUTHIZATION CODE EXPIRATION DATE

8 LEVEL 9 REDEMPTION CERTIFICATE / DER FM $10,000+ ADA1108 Samsung 10.1" Galaxy Tab TM Kit ADA1109 Victorinox Spectra 2-Piece Luggage Set ADA1110 Samsung 32" LED HDTV ADA1111 Samsung Blu-Ray Home Theater System ADA1112 Stamina Magnetic Elliptical Trainer ADA1113 Harvard Double-Fun 2-in-1 Game Table ADA1114 Calphalon Contemporary Stainless 13-Piece Cookware Set CERTIFICATE NUMBER AUTHIZATION CODE EXPIRATION DATE

9 GENERAL TERMS AND CONDITIONS Certificate This certificate has no monetary value. After the expiration date listed on the front of this form, the certificate will become null and void. Any unauthorized use of this certificate is prohibited by law. Merchandise In the event an item is discontinued, we reserve the right to offer an alternate item of equal or greater value. Your order will be shipped from the redemption center at Summit Group within 15 working days. Should a back order delay your shipment more than 30 days, Summit Group will notify you. Product exchanges are not permitted. Shipping Items will be sent via UPS ground service within the 50 states and Puerto Rico to the street address you provide. UPS will not deliver to a P.O. Box. Returns for damaged or defective merchandise must be pre-authorized by Summit Group. Please contact the ADA Customer Care Team at Summit Group at SUMMIT GROUP Maplewood Drive Itasca, IL (Hours of Operation: 7:30 am 5:30 pm CST) Toll Free: Fax:

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