Additional November Rebate November 16, 2014 – November 27, 2014 PEP BOYS VISA® PREPAID CARD REBATE CLAIM FORM (CANNOT BE COMBINED WITH ANY OTHER OFFER)
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I would like to receive e-mail from Pep Boys on product promotions and other Pep Boys services.
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CONDITIONS OF ACCEPTANCE: To be legally entitled to receive the rebate payment, you must: 1. Purchase any of the listed products at a Pep Boys store between NOVEMBER 16, 2014 – NOVEMBER 27, 2014. 2. Circle the qualifying items on the REGISTER RECEIPT or INVOICE (We cannot accept a Work Order). 3. Complete, sign and date this form. To be eligible for this offer, you must indicate the Quantity Purchased and Rebate Total for all selected items within this form. Ensure all requested information is filled in accurately, legibly and completely. 4. Submit: Online at: http://www.pepboys.com/rebates OR Mail to address below -- be sure to include a completed and signed Claim Form AND your Pep Boys REGISTER RECEIPT or INVOICE (NOT the work order). 5. Requests must be submitted or postmarked within thirty (30) days from date of purchase. 6. Make copies of all rebate submission materials for your records. Any disputed claim will require photocopy substantiation. 7. Understand and agree that the rebate will be the value of all valid rebates on a Pep Boys Visa Prepaid Card issued by Citibank, N.A. pursuant to a license from Visa U.S.A. Inc. Mail to:
By completing this rebate request, I accepted and complied, or will comply with all of the Conditions of Acceptance for this rebate offer.
Date
Additional November Rebate PBA-141105 PO Box 753365 El Paso, TX 88575-3365
Submit online at: http://www.pepboys.com/rebates
Get exclusive online SERVICE, PARTS, TIRES and ACCESSORY offers at pepboys.com
Terms & Conditions: Offer valid for purchases at Pep Boys locations in the continental United States. Visa Prepaid Cards will be paid in United States dollars only to United States residents. Rebate Offer cannot be combined with any other offer, rebate or discount. Pep Boys is not responsible for lost, damaged or incomplete Rebate Claim Forms or for misprints or typo-graphical errors. Offer is void where restricted or prohibited. All federal, state and local taxes are the responsibility of the Rebate recipient. Rebate Limit(s) apply per product, per person. To receive your Rebate, you must satisfy all the Conditions of Acceptance (above). Failure to comply with any of these Conditions of Acceptance will result in a rejection of this Rebate Claim Form. Any inquiries concerning disputes or claims of non-payment must be made by 3/18/2015 and will require photocopy(s) of receipt(s) and completed mail-in Rebate Claim Form. Any such disputes will be governed by the laws of the State of Minnesota. Failure to use your Visa Prepaid Card shall void the Rebate Claim and will relieve Pep Boys of any obligation or liability to pay the rebate. Fraudulent submissions including multiple requests could result in federal prosecution under the U.S. Mail Fraud Statutes (Title 18, USC 1341 and 1342). Cards are issued by Citibank, N.A. pursuant to a license from Visa U.S.A. Inc. and managed by Citi Prepaid Services. Visa Prepaid Cards cannot be redeemed for cash and cannot be used for cash withdrawals. Visa Prepaid Cards can be used everywhere Visa debit cards are accepted. Visa Prepaid Cards expire 120 days after the date of issuance, which date will be shown on the front of each Card. If you have not received your rebate after 8 to 10 weeks, please call 1-888-829-1420, Monday-Friday, 7AM – 7PM CST or check your rebate status at: http://www.pepboys.com/rebates/.
ACCESSORIES AND LIGHTING
Product
Shelter Logic 10' x 20' Car Port Canopy (#25757) Shelter Logic 10' x 20' Auto Shelter (#62680) 10' X 10' Pop-up Canopy (#21007800020 / 22591) Bondtech Truck and SUV Covers (Various #'s) Premiumtech Car/SUV Covers (Various #'s) Lund Genesis Tri-Fold Tonneau Cover (Various #'s) Bugflector II (Various #'s) AVS 4pc Ventvisors (Various #'s) Philips Vision Plus Twinpack Headlamps (Various #'s) Philips Crystal Vision Ultra Twinpack Headlamps (Various #'s) Philips Xtreme Vision Twinpack Headlamps (Various #'s) Voyager 18 cu ft ABS Cargo Box (#90274) Explorer Skyline Cargo (#SR7087/#A90087) Peak 1 Million Candlepower Spotlight (#PKC01MB) Peak 2.5 Million Candlepower Spotlight (#PKC02MB) Peak 5 Million Candlepower Spotlight (#PKC05MB)
Rebate Amount Rebate Limit Item Qty.
$10.00 $20.00 $10.00 $20.00 $20.00 $25.00 $15.00 $15.00 $7.00 $10.00
2 2 2 2 2 2 2 2 2 2
$15.00
2
$20.00 $20.00 $5.00 $7.00 $10.00
2 2 2 2 2
Rebate Total
Product
ANTIFREEZE
Rebate Amount Rebate Limit Item Qty.
Final Charge 50/50 Antifreeze (#FXA053) Peak Long Life FS (#PRA003) Peak Long Life 50/50 (#PRA053) Product
$5.00 $5.00 $5.00
ELECTRONICS
4.3" Wireless Backup Camera (#PKC0BU4) The Original Dash Cam (#4SK98) Isound Pop Drop Bluetooth Speaker And Speaker Phone (#Isound-6343) Isound Pop Drop Bluetooth Speaker And Speaker Phone (#Isound-6344) SDX Bluetooth Speaker (#CSF1265) Product
4 4 4
Rebate Amount Rebate Limit Item Qty.
$20.00 $10.00 $5.00
2 2 2
$5.00
2
$10.00
2
GARAGE
Goodyear 1.5 Ton Aluminum Jack (#GY1100) Peak 600 Amp Jumpstart (#PKC0J6) Peak 600 Amp Jumpstart with Inflator (#PKC0P6) Peak 900 Amp Jumpstart with Inflator (#PKC0P9) Big Red 2 Ton Promo Jack (#T82002) Big Red 2 Ton Black Jack w/360 Degree Handle (#T82015W) Stanley 4.5 Gallon Wet Dry Vac (#SL18130P)
Rebate Amount Rebate Limit Item Qty.
$10.00 $10.00 $10.00 $20.00 $10.00 $10.00
2 2 2 2 2 2
$10.00
2
THANK YOU FOR SHOPPING AT PEP BOYS! Submit online at: http://www.pepboys.com/rebates
Rebate Total
Rebate Total
Rebate Total
Additional November Rebate November 16, 2014 – November 27, 2014 PEP BOYS VISA® PREPAID CARD REBATE CLAIM FORM (CANNOT BE COMBINED WITH ANY OTHER OFFER)
PARTS
Product
Rebate Amount Rebate Limit Item Qty.
ProStop Ceramic Brake Pads- Carry Out Only
$10.00
Select Packages Front and/or Rear ProStop or Akebono Brake Service Select Packages Front and/or Rear Precision Match Brake Service
$49.99
2
$30.00
2
$50.00
2
TIRE REPAIR
Tire Sealant Kit Smart Spair Slime (#40013)
Rebate Amount Rebate Limit Item Qty.
$5.00
2
Product
TOOLS
Rebate Amount Rebate Limit Item Qty.
Goodyear 24v Cordless Impact Wrench (#33609PB)
Rebate Amount Rebate Limit Item Qty. UP TO
Free Hitch Installation with Hitch Purchase
Product
2
SERVICE
Product
Rebate Total
Rebate Total
Product
$10.00
TRANSPORTATION
Crazy Cart (#25143499) Razor Mx350 Electric Dirtbike (#15128040) Razor Betty Scooter (#15130661) Razor 300w Electric Scooter (Various #'s) Razor E90 Electric Scooter (Various #'s) Razor 100 Electric Scooter (Various #'s)
Rebate Amount Rebate Limit Item Qty.
$20.00 $20.00 $20.00 $20.00 $10.00 $10.00
Rebate Total
2
2 2 2 2 2 2 2
Rebate Total
TOTAL EXPECTED VISA PREPAID CARD AMOUNT:
THANK YOU FOR SHOPPING AT PEP BOYS! Submit online at: http://www.pepboys.com/rebates
Rebate Total