$250 GM Certified Service Powertrain Consumer Rebate Offer ...

$250 GM Certified Service Powertrain Consumer Rebate Offer Valid: 01/01/2019 - 12/31/2019

To receive your rebate, follow these conditions of acceptance:

1) Purchase a GM Genuine Engine, Transmission or Transfer Case and $300 worth of powertrain related parts (including fluids) for a Chevrolet, Cadillac, Buick, GMC, Pontiac, Oldsmobile, Saturn or Hummer (excludes Saab) vehicle and have them installed at a participating Chevrolet, Buick, GMC or Cadillac Dealer between January 1, 2019 and December 31, 2019.

REQUIREMENT: All parts MUST be GM Genuine or ACDelco parts (e.g. including fluids, engine oil, transmission fluid, engine mounts, transmission mounts, spark plugs, radiator hoses, fuel filters, antifreeze, oil filter, etc.) to be eligible for this offer. Aftermarket parts and/or fluids cannot be utilized.

2) Complete all information requested on this form accurately and legibly. Make a clean, legible copy of your Repair Order including the Dealer and circle the purchase(s).

3) Choose your rebate 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 and follow the instructions. You will be required to upload a copy of your Repair Order. To submit via mail: Complete all information requested on this form accurately and legibly. Mail this form, along with a copy of your Repair Order to the address listed to the right. Please keep copies of your Repair Order Until your rebate is approved. Submission must be postmarked by January 31, 2020.

5) By providing your contact information below, you consent that GM and/or a GM dealer may contact you with any GM offers and GM product information. For more information on the GM Privacy Statement please visit our website .

*First Name

Customer Information Section

*Last Name

*Address

EXCLUDES: Saab, Chevrolet Medium/Heavy Duty Trucks, GMC Medium and Heavy Duty Truck transmissions. Excludes Chevrolet Performance engines and transmissions

Mail to: Certified Service Powertrain Rebate Offer Number 19-66111 P.O. Box 540025 El Paso, TX 88554F-0ie0ld25

*City

*State

*Zip Code

*Email

Phone

(!) IMPORTANT: Photocopy your entire submission for your records. You may be required to mail or fax these photocopies.

*Dealership Name

*Dealer Zip Code

*Date of Purchase (MM/DD/YY)

*Repair Order Number *Vehicle VIN Number

Engine

OR

Transmission

OR

Transfer Case

*GM Part Number of Engine Purchased and Installed (Part Number is either 7 or 8 digits)

___ ___ ___ ___ ___ ___ ___ ___

*GM Part Number of Transmission Purchased and Installed (Part Number is either 7 or 8 digits)

___ ___ ___ ___ ___ ___ ___ ___

*GM Part Number of Transfer Case Purchased and Installed (Part Number is either 7 or 8 digits)

___ ___ ___ ___ ___ ___ ___ ___

The 7 or 8 digit GM Parts Number(s) found on your Repair Order must be included on this form. Repair Order must also include $300 worth of related parts (e.g. engine oil, transmission fluid, engine mounts, transmission mounts, spark plugs, air filter, plug wires, radiator hoses, fuel filters, antifreeze, oil filters, etc.)

If the Engine, Transmission or Transfer Case Part Number(s) is not included on your Repair Order, contact your GM dealer to obtain the required information.

Choose Your Rebate Method

Visa Prepaid Card

Virtual Prepaid Mastercard

Virtual rewards will be sent electronically to the email address provided above and can be used to make online purchases only. If an email address is not provided, a physical card will be mailed.

To check the status of your rebate visit "Status Lookup" at or call (833) 828-4831 weekdays, 7 am to 11 pm Eastern Time. Please allow up to 8 weeks for rebate processing.

Offer valid for customers who make the purchase at a participating Chevrolet, Buick, GMC or Cadillac Dealer in the United States. In order to receive the mail-in rebate debit card, 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. This offer is not valid on products being replaced under warranty. Fleet and commercial customers and GM Company Vehicles are not eligible for this offer. Internal dealership sales are not eligible for this offer. This offer cannot be combined with other General Motors offers. Limit one (1) rebate per service performed per service date and vehicle and cannot be assigned or transferred. 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. General Motors reserves the right to substitute a check of equal value in lieu of a prepaid card at its discretion. 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 site/visa-promo or site/Mastercard-virtual. Please allow up to 8 weeks for delivery of the rebate.

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