June 30, 2019 PEP BOYS VISA PREPAID CARD - Amazon S3
May 27, 2019 ? June 30, 2019
PEP BOYS VISA? PREPAID CARD REBATE CLAIM FORM
(CANNOT BE COMBINED WITH ANY OTHER OFFER)
Please Print Clearly: Name
Address
City
State
ZIP
Phone (
)
E-mail I would like to receive e-mail from Pep Boys on product promotions and other Pep Boys services.
Signature
Please Sign Your Name Here
Must be signed and dated
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 May 27, 2019 ? June 30, 2019.
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: (allow one day after purchase before submitting online) 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 MetaBank?, Member FDIC, pursuant to a license from Visa U.S.A Inc.
Date
By completing this rebate request, I accepted and complied, or will comply with all of the Conditions of Acceptance for this rebate offer.
Submit online at:
Mail to: Pep Boys June 2019 Rebates PBA-190601 PO Box 750053 El Paso, TX 88575-0053
Get exclusive online SERVICE, PARTS, TIRES and ACCESSORY offers at
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 10/19/19 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). This Card is issued by MetaBank?, Member FDIC, pursuant to a license from Visa U.S.A Inc. Cards do not have cash access and can be used anywhere Visa debit cards are accepted. Use of this card constitutes acceptance of the terms and conditions stated in the Cardholder Agreement. 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: .
ACCESSORIES AND LIGHTING
Product
Rebate Amount Rebate Limit Item Qty. Rebate Total
Shelter Logic 10' x 20' Carport Canopy (#25757)
$30.00
1
12' x 26' Canopy (#30777)
$30.00
1
18 Cu.Ft. Skyline II Box (#SR 7095)
$30.00
1
18 Cu.Ft. Cargo Bag (#CG-43)
$10.00
1
Folding Cargo Carrier (#CR-112F)
$10.00
1
4 Bike Hitch Rack Allen (#542RR)
$30.00
2
Bondtech Truck and SUV Covers (various #'s)
$20.00
2
Premiumtech/Barret Jackson Car Covers (various #'s) $20.00
2
Premiumtech/Barret Jackson Truck/SUV Covers
$20.00
2
(various #'s)
Philips Vision Twin Pack Headlamps (various #'s)
$7.00
2
Phillips VisionPlus Twin Pack Headlamps (various #'s) $10.00
2
Phillips Crystal Vision Ultra Twin Pack Headlamps
$15.00
2
(various #'s)
Philips Xtreme Vision Twin Pack Headlamps (various #'s) $15.00
2
Voyager 18cu Ft Abs Cargo Bx (#90274)
$30.00
1
OIL
Product
Rebate Amount Rebate Limit Item Qty. Rebate Total
5-qt. container of Valvoline Modern Engine Full Synthetic $7.00
2
Motor Oil (various #'s)
5-qt. Container of Castrol Edge Synthetic Motor Oil
$15.00
2
(various #'s)
5-qt. Container of Castrol Edge Synthetic High-Mileage $15.00
2
Motor Oil (various #'s)
5-qt. Container of Pennzoil Platinum Synthetic Motor Oil $15.00
2
(various #'s)
5-qt. Container of Pennzoil Platinum Synthetic
$15.00
2
High-Mileage Motor Oil (various #'s)
5-qt. Container of Valvoline Synthetic Motor Oil
$15.00
2
(various #'s)
5-qt. Container of Valvoline Synthetic High-Mileage
$15.00
2
Motor Oil (various #'s)
5-qt. Container Mobil 1, Mobil 1 EP or Mobil 1 High
$15.00
2
Mileage Motor Oil (various #'s)
BATTERIES
Product
Rebate Amount Rebate Limit Item Qty. Rebate Total
Bosch Premium Batteries (various #'s)
$20.00
1
Champion? Batteries (various #'s)
$20.00
1
Bosch Platinum AGM Batteries (various #'s)
$40.00
1
Champion? AGM Batteries (various #'s)
$40.00
1
REFRIGERANT
Product
Rebate Amount
AC Pro Refrigerant w/ Gauge, 20 oz. (#ACP300CA-6, $20.00
#ACP200-S6, #ACP100-S6, #ACP100CA-6)
Rebate Limit Item Qty.
2
Rebate Total
BODY REPAIR
Product
Rebate Amount Rebate Limit Item Qty. Rebate Total
Herculiner Truck Bed Liner Kit (#HCL1B8)
$25.00
1
HEADLIGHT RESTORATION
Product
Rebate Amount Rebate Limit Item Qty. Rebate Total
3M Headlight Restoration Kit W/Clear Coat (#39175)
$5.00 Unlimited
Page 1 of 2
May 27, 2019 ? June 30, 2019
PEP BOYS VISA? PREPAID CARD REBATE CLAIM FORM
(CANNOT BE COMBINED WITH ANY OTHER OFFER)
SERVICE
Product
Rebate Amount Rebate Limit Item Qty. Rebate Total
Free Hitch Installation with Hitch Purchase
$49.99
2
Powerstop Brake Kit Installation (#1325663)
$25.00
2
(Must Buy PowerStop Brake Kit)
Select Packages Front and/or Rear ProStop Standard $30.00
2
Brake Pads/Shoes, ProStop Platinum, Wagner?
Brake Shoe Brake Service
Select Packages Front and/or Rear Wagner? Quick $40.00
2
Stop Brake Service
Select Packages Front and/or Rear ProStop Ceramic, $60.00
2
Bosch Quiet Cast, Wagner? Thermo Quiet?, Wagner
OEx, Ferodo, EBC, Akebono, Wagner? Severe Duty
Brake Service
WIPERS
Product
Rebate Amount Rebate Limit Item Qty. Rebate Total
Buy 2 Rain-X Latitude Water Repellency Wiper Blades $10.00 Unlimited
(various #'s) and Get $10 back by mail (Must Buy 2)
Buy 2 Rain-X Silicone AdvantEdge Wiper Blades
$15.00 Unlimited
(various #'s) and Get $15 back by mail
(Must Buy 2)
Buy 2 Bosch Icon Wiper Blades (various #'s) and Get $10.00 Unlimited
$10 back by mail (Must Buy 2)
Product
SPARK PLUGS
Rebate Amount Rebate Limit Item Qty. Rebate Total
Bosch Iridium Spark Plugs (various #'s)
$2.00
16
Bosch Double Platinum Spark Plugs (various #'s)
$1.00
16
TOTAL EXPECTED VISA PREPAID CARD AMOUNT: *If total rebate amount is less than $5, rebate will be issued as a check.
THANK YOU FOR SHOPPING AT PEP BOYS!
Submit online at:
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