Jan 6, 2014 ... (Various #'s). Phillips LED Daylight 8 (#12824WLEDX1). Phillips LED Daylight 4 (
#12820WLEDX1). Philips Xtreme Vision Headlamps Bulbs.
JANUARY 6, 2014 – FEBRUARY 2, 2014 PEP BOYS VISA® PREPAID CARD REBATE CLAIM FORM (CANNOT BE COMBINED WITH ANY OTHER OFFER)
Please Print Clearly: Name Address State
City Phone ( E-mail
ZIP
)
I would like to receive e-mail from Pep Boys on product promotions and other Pep Boys services.
Signature
Must be signed and dated
Please Sign Your Name Here
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 JANUARY 6, 2014 – FEBRUARY 2, 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: Pep Boys January 2014 Rebate PBA-140101 PO Box 752229 El Paso, TX 88575-2229
By completing this rebate request, I accepted and complied, or will comply with all of the Conditions of Acceptance for this rebate offer.
Date
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 and Puerto Rico. Visa Prepaid Cards will be paid in United States dollars only to United States and Puerto Rico 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 5/25/2014 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/. Product
ACCESSORIES AND LIGHTING
10' x 20' Car Port Canopy (#25757) 10' x 20' Auto Shelter (#62680) Bondtech Truck and SUV Covers (Various #'s) Premiumtech Car/SUV Covers (Various #'s) Phillips LED Daylight 8 (#12824WLEDX1) Phillips LED Daylight 4 (#12820WLEDX1) Philips Xtreme Vision Headlamps Bulbs (Various #'s -Select Stores) Philips Crystal Vision Headlamp Bulbs (Various #'s - Select Stores) Anzo 6inch HID OFF Road Lights (#861096) AVS 4pc Ventvisors (Various #'s) Bug Deflector II (Various #'s)
Product
Rebate Amount Rebate Limit Item Qty.
$10.00 $20.00 $20.00
2 2 2
$20.00
2
$25.00 $15.00 $15.00
2 2 2
$10.00
2
$10.00
2
$15.00 $15.00
2 2
ANTIFREEZE
Peak Long Life 50/50 (#PRA053) Peak Long Life FS (#PRA003)
Rebate Amount Rebate Limit Item Qty.
$3.00 $3.00
2 2
Rebate Total
Product
ELECTRONICS
CD/DVD Bluetooth Stereo 7" Flip Out (#BV9964B, #BV9986BI) Boss CD/DVD Bluetooth Stereo Double DIN 6.2" (#BV9362BI) Product
$10.00
2
$10.00
2
GARAGE
All Power 2.6 Gallon Twin Tank Air Compressor (#APC4200/1106C) Torin 2 Ton Jack (#T82002) Torin 2 Ton Jack and Stands (#T82001X) Product
Rebate Amount Rebate Limit Item Qty.
Rebate Amount Rebate Limit Item Qty.
$20.00
2
$5.00 $10.00
2 2
PARTS
Rebate Amount Rebate Limit Item Qty.
ProStop Ceramic Brake Pads- Carry Out Only $10.00 Product
SERVICE
All Packages Front and/or Rear ProStop or Akebono Brake Service Rebate Total Product
2
Rebate Amount Rebate Limit Item Qty.
$30.00
No Limit
TOOLS
18 Volt Drill & Impact Gun (#PC218IDC-2) Trades Pro 164 pc Mechanics Tool Set (#837364)
Rebate Amount Rebate Limit Item Qty.
$20.00
2
$5.00
2
Rebate Total
Rebate Total
Rebate Total
Rebate Total
Rebate Total
TOTAL EXPECTED VISA PREPAID CARD AMOUNT*:
THANK YOU FOR SHOPPING AT PEP BOYS!
*If total rebate amount is less than $5, rebate will be issued as a check.
Submit online at: http://www.pepboys.com/rebates
