FREE! REBATE FORM *After mail-in rebate when you purchase any of the following products in a single transaction between 7/17/19 – 7/23/19. You can only choose up to $50 worth of products for rebate. Any purchase that exceeds more than $50 worth of designated products will only be entitled to the maximum rebate of $50. Offer only available at Price Chopper stores in Missouri and Kansas. Only one original receipt will be accepted with each original mail in rebate form. SEND: 1. This original official mail-in refund request form, with your name and address information completed (see below); * 2. The original retail store cash register receipt with products identified AFTER MAIL-IN REBATE and dated between 7/17/19 – 7/23/19; 3. The original UPC barcode(s) (cut from package). RECEIVE: Try Up to $50 worth of New products for free, A check by mail for the refund of your purchase(s). The amounts listed on the original receipt, less any coupons used, will be the amounts that are based on your purchase of participating products†. reimbursed (see below for the maximum values that can be reimbursed). MAIL TO: Price Chopper Try Me Free $50, PO Box 3460, Grand Rapids, MN 55745-3460 Products Purchased: (Limit one (1) rebate per product listed below. Check all that apply.) Products/Participating flavors may not be available at all stores. ☐ Mermaid Cereal 11.4oz ☐ Old El Paso™ Soft Taco/Bold Nacho (max. value $4.29) Cheese Stand N’ Stuff Dinner Kit ☐ Blueberry 10.9oz 12.6oz (max. value $3.79) (max. value $4.29) ☐ Old El Paso™ Slow Cooker Seasoning ☐ Peanut Butter 12.2oz Mix Beef Barbacoa 0.85oz (max. value $3.99) (max. value $0.99) ™ ☐ ™ Oats 'n Dark Chocolate ☐ Old El Paso Slow Cooker Seasoning Granola 16oz (max. value $4.49) Mix Pork Carnitas 0.85oz (max. value $0.99) ☐ Nature Valley™ Crispy Creamy Wafer ™ Bar Peanut Butter 5ct 6.5oz ☐ Old El Paso Slow Cooker Seasoning (max. value $3.99) Mix Chipotle Chicken 0.85oz (max. value $0.99) ☐ Nature Valley™ Crispy Creamy Wafer ™ Bar Peanut Butter Chocolate 5ct 6.5oz ☐ Pillsbury Churro (max. value $3.99) 11.5oz (max. value $2.99) ® ☐ Protein One 90 Calories Mint Chocolate ☐ Godiva Molten Lava Cakes 10.4oz Cookie Bars 5ct 4.8oz (max. value $4.99) (max. value $3.99) ☐ Godiva® Flourless Chocolate Torte ☐ Protein One 90 Calories Salted 13.2oz (max. value $4.99) Caramel Crisp Bars 5ct 4.8oz (max. ☐ Godiva® Raspberry Chocolate Torte value $3.99) 12.3oz (max. value $4.99) ☐ ™ Fruit Snacks Disney ☐ Godiva® Brownie Cheesecake Swirl Frozen 10ct 8oz (max. value $3.19) 13.2oz (max. value $4.99) ☐ Betty Crocker™ Fruit Snacks Disney ☐ Betty Crocker™ Chilled Treats Lemon Toy Story 10ct 8oz (max. value $3.19) Mousse 8.9oz (max. value $2.99) ☐ Betty Crocker™ Fruit Rollups Jolly ☐ Betty Crocker™ Chilled Treats Rancher 10ct 5oz (max. value $3.19) Chocolate Mousse 8.9oz ☐ Betty Crocker™ Fruit Snacks Disney (max. value $2.99) Frozen 20ct 16oz (max. value $3.99) ☐ Betty Crocker™ Chilled Treats Key ☐ Betty Crocker™ Fruit Snacks Disney Lime Mousse 8.9oz Toy Story 20ct 16oz (max. value $3.99) (max. value $2.99) ™ ☐ Betty Crocker™ Fruit Rollups ☐ Betty Crocker Chilled Treats French Sour 10ct 5oz (max. value $3.19) Vanilla Mousse 8.9oz (max. value $2.99) ☐ Old El Paso™ Soft Tortilla Bowl Cheese ™ 6.7oz (max. value $2.99) ☐ - Cheesy Fajita 5.7oz (max. value $1.99) ☐ Hamburger Helper™ - Southwest Pasta 5.6oz (max. value $1.99) REFUND CHECK TO BE MAILED TO: (PLEASE PRINT) Name ______Address (No P.O. Boxes) ______

*See in-ad rebate form for details. You can only choose up to $50 worth of products for rebate. Any purchase that exceeds more than $50 ______Apt ______worth of designated products will only be entitled to the maximum rebate of $50. **Actual rebate value will be based on retail price at time of purchase and will vary by store, less any coupons used. NEW! City ______State ______Zip______Offer only available at Price Chopper stores in Missouri and Kansas. OFFER EXPIRES 7/23/19. Offer limited to one (1) rebate per person, address or household. You can only choose up to $50 worth from of products for rebate. Any purchase that exceeds more than $50 worth of designated products will only be entitled to †Participating Products: General Mills Cereals Blueberry Cheerios 10.9oz, Peanut Butter Chex 12.2oz, Mermaid Cereal 11.4oz, Nature Valley Oats ‘n Dark Chocolate the maximum rebate of $50. Granola 16oz, Crispy Creamy Wafer Bar Peanut Butter 5ct, Crispy Creamy Wafer Bar Peanut Butter Chocolate 5ct, Protein One 90 Calories Mint Chocolate Cookie Bars Purchase the Product(s) between 7/17/19 – 7/23/19. Mail-in form must be postmarked by 8/6/19 and received by 8/13/19. No Post 5ct, 90 Calories Salted Caramel Crisp Bars 5ct, Betty Crocker Fruit Snacks Disney Frozen 10ct. & 20ct, Fruit Snacks Disney Toy Story 10ct. & 20ct, Fruit Rollups Jolly General Mills Of ce Boxes allowed, only street or rural route addresses are acceptable. Reproduction, purchase, sale, or trade of any offer requirement is prohibited. This offer may not be published in any rebating magazine, website or elsewhere without written permission of General Mills, Rancher 10ct, Fruit Rollups Sour 10ct, Chilled Treats Lemon Mousse 8.9oz, Chilled Treats Chocolate Mousse 8.9oz, Chilled Treats Key Lime Mousse 8.9oz, Chilled Treats Inc. This offer is void where taxed, regulated, or prohibited. Requests which are non-conforming, duplicates, from outside the stated area, French Vanilla Mousse 8.9oz, Old El Paso Soft Tortilla Bowl Cheese 6.7oz, Soft Taco/Bold Nacho Cheese Stand N’ Stuff Dinner Kit 12.6oz, Slow Cooker Seasoning Mix or from groups or organizations will not be honored or returned. Allow up to eight (8) weeks from our receipt of your request to send your Beef Barbacoa 0.85oz, Slow Cooker Seasoning Mix Pork Carnitas 0.85oz, Slow Cooker Seasoning Mix Chipotle Chicken 0.85oz, Pillsbury Toaster Strudel Churro 11.5oz, rebate. Offer good only in MO and KS. General Mills, Inc. is not responsible for lost, late or misdirected mail. Fraudulent requests could result in prosecution under federal mail fraud statutes. Not combinable with other offers. Request form may not be assigned, transferred Godiva Molten Lava Cakes 10.4oz, Flourless Chocolate Torte 13.2oz, Raspberry Chocolate Torte 12.3oz, Brownie Cheesecake Swirl 13.2oz, Hamburger Helper Cheesy or sold (including, without limitation, via online auction sites). Inquiries about rebates can be directed to 800-837-8804 between Fajita 5.7oz, Southwest Pasta 5.6oz. MSO-7855 ©2019 General Mills 7/13/19 – 11/1/19. © 2019 General Mills