Certified Service Mail-In Rebate Offer up to $200 GM Certified Service Tire Rebate Offer Valid: 09/01/2018 - 11/30/2018
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Certified Service Mail-in Rebate Offer Up to $200 GM Certified Service Tire Rebate Offer Valid: 09/01/2018 - 11/30/2018 To receive your rebate, follow these conditions of acceptance: 1. Purchase and have installed, a new set of four (4) Qualifying Tires (listed below) between September 1, 2018 and November 30, 2018 at a participating Chevrolet/Buick/GMC/ Cadillac Dealer. To qualify for the double rebate amount, the purchase must be made with your GM or BuyPower Card®. GM BuyPower Cards include the GM Blue/Gold Card, GM Copper/Platinum Card, GM Extended Family Card and GM Flexible Earnings Card. 2. Complete all information requested on this form accurately and legibly. Make a clean, legible copy of the GM Dealer Invoice/Repair Order. The invoice/Repair Order must have the Dealer and eligible part purchase circled. If you used your GM or BuyPower Card for your purchase, you will also be required to provide the last 4 digits of your credit card when you submit for the rebate. 3. Choose your rebate reward method. Reward provided on a Visa® Prepaid Card or a Virtual Prepaid Mastercard® 4. Submit your rebate online 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 to: Mail this form, along with a copy of your Invoice/Repair Order to the address listed to the right. Please keep copies of your Certified Service Fall Tire Rebate Offer Invoice/Repair Order until your rebate is approved. Submissions must be postmarked by December 31, 2018 Offer Number 18-66099 5. By providing your contact information below you consent that GM and/or a GM dealer may contact you with any GM P.O. Box 540025 offers and GM product information. For more information on the GM Privacy Statement please visit our website El Paso, TX 88554-0025 http://www.gm.com/privacy. Customer Information Section *Denotes Required Field *First Name *Last Name *Address *City *State *Zip *Phone Number *Email (!) IMPORTANT: Photocopy your entire submission for your records. You may be required to mail or fax these photocopies. *Dealer Name *Dealer Address *Date of Purchase (MM/DD/YY) *Invoice/Repair Order Number *Vehicle Identification Number (VIN) Last 4 Digits of your GM or BuyPower Card Amount Charged to your GM or BuyPower Card By filling out these fields, I acknowledge that I am identifying myself as a GM or BuyPower Card holder. *GM Part Number of FRONT Tires Purchased and Installed Write both FRONT and REAR Tire Part *GM Part Number of REAR Tires Purchased and Installed ___ ___ ___ ___ ___ ___ ___ ___ Numbers, even if the Numbers are the same. ___ ___ ___ ___ ___ ___ ___ ___ Qualifying Tires Rebate: $200 or $100 Bridgestone Continental Goodyear Hankook Pirelli Please check which brand you purchased: Rebate: $140 or $70 Firestone Michelin General To qualify for the double rebate amount, the purchase must be made with your GM or BuyPower Card Rebate: $100 or $50 BFGoodrich Dunlop Rebate: $80 or $40 Uniroyal Rebate: Choose Your Reward Method *Virtual rewards will be sent electronically to the email address provided above and can be used to Visa Prepaid Card Virtual Prepaid Mastercard make online purchases only. If an email address is not provided, a physical card will be mailed. If you have not received your rebate within 8 weeks after the postmark date of your qualified submission, or if you have questions about your submission, call (833) 828-4831 weekdays, 7am to 11pm Eastern Time. Offer valid for customers who make the purchase and have it installed 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 reward, 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. GM Company Vehicles are not eligible for this offer. Internal dealership sales are not eligible for this offer. 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. Limit one (1) rebate per service performed per service date and vehicle. Maximum of four (4) redemptions per address for this promotion and cannot be assigned or transferred. Visa prepaid card is issued by MetaBank®, Member FDIC, pursuant to a license from Visa U.S.A. Inc. Can be used everywhere Visa debit cards are accepted. Virtual Prepaid Mastercard is issued by MetaBank®, Member FDIC, pursuant to license by Mastercard International Incorporated. Mastercard is a registered trademark, and the circles design is a trademark of Mastercard International Incorporated. Can be used online where Debit Mastercard is accepted. No cash access or recurring payments. 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. Terms and conditions apply, see MyPrepaidCenter.com/site/visa-promo or MyPrepaidCenter.com/site/Mastercard-virtual..