Read Superchips_SS_Rebate Form text version

MAIL-IN-REBATE

Receive a $25 or $50 rebate* by mail with the purchase of a qualifying Superchips or Superchips Racing Programmer. Offer good on purchases made between July 1, 2011 and August 31, 2011. Qualifying Programmers limited to: Flashpaq Part #'s 1855, 1865, 2855, 2865, 3855, 3865, 3875, and 4865. Cortex Part #'s 1950, 2950, 3950, and 4950. Superchips Racing Part #'s 1856, 2856, and 3856

First Name: (PLEASE PRINT) Last Name: Address: City: State: Zip: Daytime Phone: Evening Phone: Store Where Purchased: E-mail Address: (optional) Yes, I would like to receive future e-mails on products and promotions from Superchips brand. PLEASE INDICATE WHICH MODEL PROGRAMMER YOU PURCHASED:

Flashpaq Programmer ($25 rebate*) Signature: Cortex Programmer ($50 rebate*) Superchips Racing Programmer ($50 rebate*)

REQUEST MUST BE POSTMARKED BY September 30, 2011

To receive your $25 or $50 rebate by mail with the purchase of a qualifying Superchips® or Superchips Racing Programmer, send:

1. The original, or a copy of this

completed Superchips rebate form

2. The original UPC code from

the programmer package

3. The original, or a copy of your cash

SAMPLE

register receipt or packing slip dated

Mail To: Reward and Rebate Center ATTN: Superchips Rebate 800 McHenry Ave. Crystal Lake IL. 60014

For Offer Inquiries Call: 1-800-747-4654 or visit us online at: www.rewardandrebatecenter.com/superchips or www.superchips.com/rebate

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PROOF OF PURCHASE Sample UPC code UPC code is located on the side panel of every product.

MAIL-IN ENVELOPE MUST BE POSTMARKED NO LATER THAN 9/30/2011 LATE SUBMISSIONS WILL NOT BE ACCEPTED.

One submission form per envelope. This certificate has no cash value. Void where prohibited, restricted, licensed, or taxed. Limit one mail-in-rebate for each model type per family, name, or address. No reproduction of the UPC code accepted. Any other use constitutes fraud. Fraudulent submissions could result in federal prosecution under the U.S. mail fraud statutes (18 United States Code, section 1341 and 1342). Offer only good in the U.S.A. and Canada. All submitted proofs of purchase become the property of Superchips and cannot be returned. Superchips and the store where purchased are not responsible for lost, late, illegitimate, incomplete, damaged, misdirected, or postage-due requests. Omission of sales receipt or any other information will delay processing. Purchases through online auction sites will not qualify. Purchases of refurbished or discontinued models do not qualify for this promotion. Purchases must be made through a Superchips Authorized MVP dealer. Not valid with any other promotions or discounts. Keep a copy of this rebate form for your files. Please allow 8 weeks for delivery. * Your rebate will be on a VISA Prepaid Card. This card is a rebate card and not offered for sale to the general public. This card will begin to fee down at a rate of $3 per month beginning on month 13. Please be sure to read the terms and conditions enclosed with your card as well as thehelpful "Tip's and Hint's"

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Superchips_SS_Rebate Form

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