AAA/Jerr-Dan Rebate Request

07/2019

AAA/Ford Rebate Form For New 2020 Model Year Vehicles

This offer is available to SERVICE PROVIDERS ONLY through a special alliance with Ford Motor Company. VEHICLES MUST BE PURCHASED THROUGH AN AUTHORIZED FORD or LINCOLN DEALER IN THE U.S. TO QUALIFY FOR INCENTIVES and REBATES.

PURCHASES MADE THROUGH TOW TRUCK DEALERS ARE INELIGIBLE FOR THIS PROGRAM.

Model

Savings Off Dealer Invoice

Cash-back Rebate Amount

(Rebate Form Required)

Total Incentive Realized

2020 Escape

$1,800

$100

$1,900

2020 Escape Hybrid/PHEV

$1,400

$100

$1,500

2020 Fusion

$2,400

$100

$2,500

2020 Fusion Energi/Hybrid

$3,100

$100

$3,200

2020 Ecosport

$1,900

$100

$2,000

2020 Explorer

$2,700

$100

$2,800

2020 Expedition

$4,400

$100

$4,500

2020 F-150 (4x2 Reg Cab)

$5,000

$100

$5,100

2020 F-150 (4x4 Reg Cab)

$5,500

$100

$5,600

2020 F-150 (Super Cab)

$5,800

$100

$5,900

2020 F-150 (Super Crew)

$6,300

$100

$6,400

2020 Ranger (4x2 Crew Cab)

$1,000

$100

$1,100

2020 Ranger (4x2 Super Cab)

$100

$100

$200

2020 Ranger (4x4 Crew Cab)

$1,800

$100

$1,900

2020 Ranger (4x4 Super Cab)

$1,400

$100

$1,500

2020 Transit Connect

$2,300

$100

$2,400

2020 Transit - AWD

$4,500

$100

$4,600

2020 Transit

$4,900

$100

$5,000

2020 Edge

$3,900

$100

$4,000

2020 F-Series (F250-F550)

$5,600

$100

$5,700

2019 Econoline Van (E150-E450)

$4,700

$100

$4,800

2019 F-650 and F750 Diesel

$7,800

$100

$7,900

2019 F-650 Gas

$5,500

$100

$5,600

2019 F-750 Gas

$6,000

$100

$6,100

IMPORTANT! The above incentives are effective on vehicles ordered on or after 7/01/19 AAA FIN Code

XE071-AAA Service Providers and Option Code (56A) must be given to dealer at the time of purchase.

Failure to provide this information at the time of purchase will result in forfeiture of the AAA/Ford CPA

incentives. Vehicles sold from dealer Stock ? incentives will be paid directly to the Selling Dealer, via the

Fleet Integrated Marketing Payment Statement (FIMPS), at the end of the month in which the vehicle is

reported sold. The Ford Motor Company dealer should apply the incentive amounts indicated as a reduction

to the vehicles' invoice price at time of sale/delivery. If you have any questions, please contact program

administrator at 407-444-7255 for special consideration on volume purchases.

Important! Selling Dealer the below listed vehicles should be reported sold under the Ford and Lincoln National Commercial Fleet Incentive using AAA FIN XE071 and Option Code 56M.

Contact program administrator at 407-444-7255 or 1-800-34FLEET if you have any questions.

2020 Mustang

$750

$0

$750

2020 Lincoln Aviator - Gas

$2,000

$0

$2,000

2020 Lincoln Aviator - PHEV

$1,500

$0

$1,500

2020 Lincoln Corsair

$1,250

$0

$1,250

2020 Lincoln MKZ/MKZ Hybrid

$3,500

$0

$3,500

One form required for each rebate requested. See back for additional incentive requirements.

PLEASE PRINT (Following section to be completed by AAA purchaser):

Purchaser Business Name: ______________________________________________________________

Business Mailing Address: ______________________________________________________________

City, State, Zip: _______________________________________Email*:_________________________

Daytime Telephone Number: ______________________Purchase Date of Vehicle: _________________

Your Service Provider Status: AAA -ERS -PSP -AAR -ADSN Contractor ID#: ______________

Model Purchased _________________Vehicle Identification Number (VIN) _______________________

Enter your Social Security Number or Federal Employer Identification Number.

Indicate the type of business: Individual/Sole Proprietor Corporation Partnership Other: ______________

I acknowledge the purchase of the Ford vehicle listed on the attached sales agreement and request the AAA cash back rebate of $100 as provided in the AAA/Ford rebate program:

Signature _____________________________

Date _______________________

_____________________________ Print Name of AAA Purchaser

After all information is filled out completely, please attach copy of sales agreement and expedite forwarding this form to your AAA club representative. Incomplete information will delay rebate processing.

This section to be completed by AAA Club

Club Name: ___________________________________Club Number: ______________________

Print Club Representative Name: ____________________________________________________

Club Representative Email Address: __________________________________________________

Club Representative Telephone Number: ______________________________________________

Club Mailing Address: ____________________________________________________________

City, State, Zip: __________________________________________________________________

Signature: ___________________________________

Date: ______________________

Rebate requests must be postmarked/mailed to the AAA National office within 90 days from the purchase delivery date. Rebate requests submitted after 90 days will be ineligible. Forward the completed rebate form and a copy of the sales agreement to Chantay Tarver, Account Executive, Service Provider Benefit Programs, AAA National Office, 1000 AAA Drive, M.S. #33, Heathrow, FL 32746.

Offer conditions:

1) Purchasers must notify the Ford dealer of their affiliation with AAA at the time of purchase, inclusive of providing the AAA Fleet Identification Number XE071-AAA and Option code (56A) in order to earn the Ford CPA incentive amounts. Otherwise incentives will be forfeited.

2) A copy of the sales agreement must be attached to this form in order to process the incentive/rebate request. Incentive/rebate requests received that are not fully completed or are without sales agreements attached will be returned to clubs.

3) Rebate requests must be postmarked/mailed to the AAA National office within 90 days from the purchase delivery date. Rebate requests submitted after 90 days will be ineligible and rebates will be forfeited.

4) Please allow four to eight weeks to receive your rebate check. Checks will be issued to the purchaser exactly as listed on the attached sales agreement.

5) Available in the US Only. This offer is not transferable and may not be combined with any other Ford incentive.

6) The Ford Off Invoice incentive is applicable to new 2020 model year vehicles purchased on or after 7/01/19 through authorized Ford dealers and cannot be combined with any other retail or commercial account programs. Vehicles equipped with Ford cab and chassis purchased at tow truck distributors are not eligible for this incentive.

7) Incentives paid on vehicles purchased will be based on the dealers' original order date. 2020 vehicles ordered prior to 7/01/19 will receive Off Invoice incentives based on the 2019 AAA program amounts. See 2019 AAA/Ford Rebate form for details.

8) This offer replaces previous offers and is only available to AAA service providers and may be modified or withdrawn at any time without prior written notice.

9) *By providing your email address, you agree to receive emails from AAA and Ford on other offers that may be of value to you.

10) For more information on the Ford program, visit NetworkofSavings. or call 407-444-7255 or email: ctarver@national.

07/2019

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