20 GM Visa ® Prepaid Card Certified Service Offer
$20 GM Visa® Prepaid Card Certified Service Offer ACDelco Professional or GM Original Equipment Brake Pad Rebate Offer Valid: 09/01/2017 - 11/30/2017 To receive your Visa prepaid card by mail, follow these conditions of acceptance: 1. To qualify for the $20 rebate per axle, purchase and have installed ACDelco Professional or GM Original Equipment Brake Pads at a participating Chevy/Buick/GMC/Cadillac dealer during the promotion dates listed above. 2. Ensure you have a clean, legible copy of your Invoice/Repair Order including the dealer identification and circle the purchase(s) and installation of the qualifying service. 3. Submit your rebate online for faster processing or via mail. To submit online: Using a computer, tablet or mobile phone, go to www.mycertifiedservicerebates.com and follow the instructions. You will be required to upload a copy of your Invoice/Repair Order. To submit via mail: Complete all information requested on this form accurately and legibly. Mail this form, along with a copy of your Invoice/Repair Order to the address below. Submission must be postmarked by December 15, 2017. 4. To check the status of your submission, visit the “Status Lookup” section at www.mycertifiedservicerebates.com.
Mail to: Certified Service Fall Brake Pad Offer Offer Number 66036 PO Box 6970 Mesa, AZ 85216
(!) IMPORTANT: Photocopy your entire submission for your records. You may be required to mail or fax these photocopies.
Customer Information Section *First Name
*Denotes Required Field
*Last Name
*Address *City
*State
*Phone Number
*Zip *Email
As a U.S. resident, I would like to receive further communications from GM or a GM dealer. Non-U.S. residents please visit your country specific GM website and/or your local dealer for further information.
*Dealer Name
*Dealer Address
*Date of Purchase (MM/DD/YY)
*Invoice/Repair Order Number
*Vehicle VIN Number
Purchased ACDelco Professional Brake Pads Front Axle - $20 Rebate Part Number ___ ___ ___ ___ ___ ___ ___
Rear Axle - $20 Rebate Part Number ___ ___ ___ ___ ___ ___ ___
Purchased GM Original Equipment Brake Pads Front Axle - $20 Rebate Part Number ___ ___ ___ ___ ___ ___ ___
Rear Axle - $20 Rebate Part Number ___ ___ ___ ___ ___ ___ ___
How did you first hear about this offer?
Google/Internet Search Dealership Website
Where do you normally purchase brakes?
Dealership Sears
Pep Boys Walmart
Direct Mailer Signs Inside the Dealership
Pandora Ad Television
Dealership Employee Other
Local Independent Service Chain Midas Other
If you have not received your prepaid card within 8 weeks after the postmark date of your qualified submission, or if you have questions about your submission, call (844) 656-5369 weekdays, 7am to 11pm Eastern Time. Offer valid for customers who make the purchase and have the service performed at a participating Chevrolet, Buick, GMC or Cadillac dealer located in the United States and U.S. territories. In order to receive the mail-in rebate debit card, qualifying purchases must satisfy the rebate requirements as outlined on this rebate application. Failure to meet the mail-in rebate requirements will disqualify your rebate. This offer is available to retail customers with mailing addresses in the United States and U.S. territories. This offer is not valid on products being replaced under warranty. Fleet and Commercial customers and GM Company Vehicles are not eligible for this offer. Internal dealership sales are not eligible for this offer. This offer cannot be combined with some General Motors offers, or brake manufacturer rebates and/or specials. Limit two (2) redemptions per household and cannot be assigned or transferred. This offer is void where taxed, restricted or prohibited by law. General Motors and their partners are not responsible for lost, late, damaged, illegible, misdirected or postage-due submissions. Any excessive submissions, misrepresentation or fraudulent information disqualifies the rebate and may give rise to criminal or civil prosecution. All rebates shall be governed by applicable state and federal laws. All terms, conditions and rules of this program are subject to change. All submitted materials become property of General Motors and will not be returned. Rebate paid in the form of a Visa prepaid card. General Motors reserves the right to substitute a check of equal value in lieu of a Visa prepaid card at its discretion. Card is issued by MetaBank®, Member FDIC, pursuant to a license from Visa U.S.A. Inc. No cash access or recurring payments. Can be used everywhere Visa debit cards are accepted. Card valid for up to 12 months; unused funds will be forfeited at midnight EST the last day of the month of the valid thru date. Card terms and conditions apply; see MyPrepaidCenter.com/site/visa-promo. Please allow up to 8 weeks for delivery of the rebate.
Mail to: Certified Service Fall Brake Pad Offer Offer Number 66036 PO Box 6970 Mesa, AZ 85216
(!) IMPORTANT: Photocopy your entire submission for your records. You may be required to mail or fax these photocopies.
Customer Information Section *First Name
*Denotes Required Field
*Last Name
*Address *City
*State
*Phone Number
*Zip *Email
As a U.S. resident, I would like to receive further communications from GM or a GM dealer. Non-U.S. residents please visit your country specific GM website and/or your local dealer for further information.
*Dealer Name
*Dealer Address
*Date of Purchase (MM/DD/YY)
*Invoice/Repair Order Number
*Vehicle VIN Number
Purchased ACDelco Professional Brake Pads Front Axle - $20 Rebate Part Number ___ ___ ___ ___ ___ ___ ___
Rear Axle - $20 Rebate Part Number ___ ___ ___ ___ ___ ___ ___
Purchased GM Original Equipment Brake Pads Front Axle - $20 Rebate Part Number ___ ___ ___ ___ ___ ___ ___
Rear Axle - $20 Rebate Part Number ___ ___ ___ ___ ___ ___ ___
How did you first hear about this offer?
Google/Internet Search Dealership Website
Where do you normally purchase brakes?
Dealership Sears
Pep Boys Walmart
Direct Mailer Signs Inside the Dealership
Pandora Ad Television
Dealership Employee Other
Local Independent Service Chain Midas Other
If you have not received your prepaid card within 8 weeks after the postmark date of your qualified submission, or if you have questions about your submission, call (844) 656-5369 weekdays, 7am to 11pm Eastern Time. Offer valid for customers who make the purchase and have the service performed at a participating Chevrolet, Buick, GMC or Cadillac dealer located in the United States and U.S. territories. In order to receive the mail-in rebate debit card, qualifying purchases must satisfy the rebate requirements as outlined on this rebate application. Failure to meet the mail-in rebate requirements will disqualify your rebate. This offer is available to retail customers with mailing addresses in the United States and U.S. territories. This offer is not valid on products being replaced under warranty. Fleet and Commercial customers and GM Company Vehicles are not eligible for this offer. Internal dealership sales are not eligible for this offer. This offer cannot be combined with some General Motors offers, or brake manufacturer rebates and/or specials. Limit two (2) redemptions per household and cannot be assigned or transferred. This offer is void where taxed, restricted or prohibited by law. General Motors and their partners are not responsible for lost, late, damaged, illegible, misdirected or postage-due submissions. Any excessive submissions, misrepresentation or fraudulent information disqualifies the rebate and may give rise to criminal or civil prosecution. All rebates shall be governed by applicable state and federal laws. All terms, conditions and rules of this program are subject to change. All submitted materials become property of General Motors and will not be returned. Rebate paid in the form of a Visa prepaid card. General Motors reserves the right to substitute a check of equal value in lieu of a Visa prepaid card at its discretion. Card is issued by MetaBank®, Member FDIC, pursuant to a license from Visa U.S.A. Inc. No cash access or recurring payments. Can be used everywhere Visa debit cards are accepted. Card valid for up to 12 months; unused funds will be forfeited at midnight EST the last day of the month of the valid thru date. Card terms and conditions apply; see MyPrepaidCenter.com/site/visa-promo. Please allow up to 8 weeks for delivery of the rebate.
