Rebate Form - RockAuto

consumer promotion

MAIL-IN REBATE #WE17-3856 NOVEMBER 15, 2017 – FEBRUARY 28, 2018

95 BACK

$

GET UP TO

*

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consumer information — Please print clearly. All fields of information required.

Check this box to learn more about future offers, promotions and products.

Name: _____________________________________________

Email address: _____________________________________

Address: ___________________________________________

Phone Number: ____________________________________

City: _______________________________________________

State: ____________________________ Zip: ___________

place of purchase information — For retail store or online purchases. Store Name: _______________________________

/ / Receipt Number: _________________ Purchase Date: ______________ MM

Address: __________________________________________ Retail Price Paid: $_________ URL if purchased online — Example of URL: www.storename.com

Do not include tax.

City: ______________________________________________

/

DD

/

YY

$ Total Cash Rebate: ___________

State: ____________________________ Zip: ___________

product(s) purchased — Check all that apply.

$95 REBATE

$50 REBATE

Check ONE (1)

Check ONE (1)

� Off-Road 10.0S Integrated Winch � Off-Road 12.0 Integrated Winch

� � � �

Part No. : _______________

Off-Road 9.5 Waterproof Winch Off-Road 9.5S Waterproof Winch Off-Road 12.5 Waterproof Winch Off-Road 12.5S Waterproof Winch

$40 REBATE

$35 REBATE

� HDX LED Grille

� ATV PRO-3500 Winch

Part No. : _______________

Part No. : 47-1235 _______________

Part No. : _______________

$30 REBATE

$15 REBATE

$10 REBATE

Check ONE (1)

Check ONE (1)

Check ONE (1)

� B-Force 50” Overhead LED Kit � Ultimate LED Bull Bar

� � � � � � � �

Part No. : _______________

Performance2X Light Bar B-Force Double Row HDX Flush Mount B-Force Light Kit Xtreme LED Light Bar Quadrant Pair Packs Axis Pair Packs HyperQ Pair Packs Profile 4-Piece Floor Mats

� EF2 Double Row � B-Force Single Row LED � Profile 2-Piece Floor Mats

PLEASE INCLUDE THE FOLLOWING: • COPY OF RECEIPT • UPC CODE LABEL

Part No. : _______________

Part No. : _______________ *MAIL-IN REBATE RULES AND REGULATIONS: Mail-In Rebate Rules and Regulations: Mail-in a copy of your proof of purchase receipt postmarked by March 31, 2018, for your purchase of a qualifying product, made between November 15, 2017 and February 28, 2018, along with the original UPC code label cut from the box, and a completely filled-out mail-in rebate form, to: WESTIN WINTER SAVINGS Rebate Offer# WE17-3856 PO BOX 472, Scottsdale, AZ 85252-0472. Consumer should photocopy all mailed items in the case of dispute, lost submission or claim of non-fulfillment. The consumer is qualified as one that does not resell the product and installs it on their own personal vehicle. Limit one (1) claim per household. Offer valid in the United States only. Rebates paid in U.S. Dollars. Please allow 8-10 weeks from the postmark date of the mailed-in documentation for fulfillment of rebate. To check the status of your rebate, please visit www.rapid-rebates.com or call 1-800-619-4703. Inquiries must be made within 2 months of promotion expiration.

westinautomotive.com | 800.345.8476

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