Milano Rebate Online Form
HB WINE MERCHANTS, INC.
SAVE UP TO $15.00 ON IL BASTARDO & LA BASTARDA WINES
Promotion Code:
ILLA2023
Department Code:
673
First Name
*
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Last Name
*
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Address
(Begin typing your address, then select your full address from the drop down)
Invalid address
Street Address
*
Street Address Line 2
(Enter P.O. Box, Apt.#, or Suite# on this line)
City
*
State/Province
*
Zip Code
*
Country
*
Phone Number
*
Invalid format
Email
*
Invalid format
Rebate Amount
*
- Select -
$1.00
$6.00
$15.00
Store Receipt
* (Store receipt must be uploaded for rebate submission to be accepted.)
Valid img extensions include png, jpg, jpeg, bmp, gif, webp, tiff, pdf
DATE OF BIRTH
*
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WINE PURCHASED
*
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- Select -
IL BASTARDO SANGIOVESE
LA BASTARDA PINOT GRIGIO
LA BASTARDA BIANCO
NA
STORE NAME CITY STATE FROM RECEIPT
*
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