Please provide us with your mailing address for your rebate check:

Name:    

Address:

             

City:          
State:    
Zip:

email:    

If your receipt does not have a store name on it, please enter it below:

Store:    

Please print and fax this page with your receipt to 1-512-233-0067 or mail to Lumino Wellness, 4225 #C,   S. Lincoln St. Washougal, WA 98671

If you prefer, you may email this page with the button below. You may then scan and email your receipt to info@LuminoWellness.com, or send it via the post office.