The Dysport Challenge is limited to patients over the age of 18 who receive a botulinum toxin type A treatment only for the temporary improvement of the look of moderate to severe frown lines between the eyebrows (glabellar lines). To participate in this offer, you must receive a Dysport treatment between March 1 and September 30, 2010. The time to receive your first treatment in the Dysport Challenge has been extended until September 30, 2010. Your second treatment must occur at least three months after your first treatment and between June 1, 2010 and January 31, 2011. These terms and conditions supersede and replace any previous terms and conditions for the Dysport Challenge. If you have any questions about the Dysport Challenge, or if you do not receive your rebate check within eight weeks, please call toll-free 866-222-1480 or visit www.DysportUSA.com and click on the Dysport Challenge for further information.
First Dysport Treatment
Receive a Dysport treatment between March 1 and September 30, 2010. Within 30 days of your treatment, you must: sign up for the Dysport Challenge at www.DysportUSA.com and mail your completed Dysport Coupon Rebate Form with an itemized receipt for your treatment to the address found on the form. The Dysport Coupon Rebate Form is available at www.DysportUSA.com and from your healthcare professional. To obtain your first $75 rebate check, your request must be postmarked within 30 days of your treatment. Under no circumstances may a Dysport Coupon Rebate Form be postmarked after October 30, 2010. A second treatment is not required to participate in this offer or receive your first $75 rebate check.
Second Treatment Love It or Leave It
You may choose only one of the following two options: (1) Love It: If you love your Dysport treatment, complete and return the Love It Rebate Form to receive another $75 rebate off a second Dysport treatment. A copy of the Love It Rebate Form will be sent with your first $75 rebate check and is also available from www.DysportUSA.com. (2) Leave It: If you do not love your Dysport treatment, within 15–30 days of your first treatment, return to www.DysportUSA.com to select the “Leave It” option and print the Leave It Rebate Form. Complete and return the Leave It Rebate Form to receive a $75 rebate off a treatment with another botulinum toxin type A product, as prescribed by your healthcare professional. Note: You must wait a minimum of 3 months between your first and second treatments, and your second treatment must occur between June 1, 2010, and January 31, 2011. To request your $75 rebate check for either option, mail your completed Love It Rebate Form or Leave It Rebate Form with an itemized receipt for your treatment to the address found on the form, postmarked within 30 days of your second treatment. Under no circumstances may a Love It Rebate Form or Leave It Rebate Form be postmarked after March 2, 2011. The total value of the rebate check for the second treatment is $75.
Eligibility Rules
You are eligible for this offer only if you paid for your entire treatment yourself and if no part of your treatment was covered by insurance or another third-party payor. This offer excludes any treatment using a Medicis Aesthetics Inc. product that is reimbursed by Medicaid, Medicare, or other federal or state benefit programs, including state medical assistance programs. You are not eligible for this offer if your private insurance, HMO, or other health benefit program paid for all or part of your treatment. If any form of reimbursement is sought from a third-party, you may be required to disclose the value of the rebate(s) to that party. This offer is available only to patients, excluding claims from Medicis Aesthetics Inc. employees and their families, or employees of its dealers and distributors. This offer is non-transferable. Offer valid only in the U.S. excluding territories and void where prohibited by law.
Legal
Program checks and coupons are void if not cashed or used within 180 days and cannot be re-issued. This offer cannot be combined with any other offer or promotion, and may not be used more than once by any individual. By submitting a Dysport Coupon Rebate Form, Love It Rebate Form, or Leave It Rebate Form, you agree to all terms and conditions of this offer and acknowledge that, in administering this program, Medicis Aesthetics Inc. will track your treatment activity and use your personal information to send correspondence in connection with this offer. Medicis Aesthetics Inc. reserves the right to cancel or modify this offer without notice. The Dysport Challenge rebate checks will be issued in U.S. dollars only. All requests become the property of Medicis Aesthetics Inc. and will not be returned. Medicis Aesthetics Inc. assumes no responsibility for lost, late, damaged, misdirected, misaddressed, incomplete or postage-due requests that fail to be properly delivered to the address stated on the rebate forms for any reason. Such requests will not be honored. (Ver. 3 revised 05/14/10)