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You must then print the electronic form and mail-in along with the original UPC barcode cut from the BIC package, and the original store cash register receipt dated 7/21/19-9/7/19 with the product purchase price circled
https://bicgelocity2019.dja.com/assets/pdf/form.pdf
https://bicgelocity2019.dja.com/assets/pdf/form.pdf