LV1001 Laverne Journeyman 12012017_2 - Rackcdn.com

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LUVERNE™ Journeyman™ HD Bumper between 12/01/17 and 01/31/18.*. FIRST AND LAST NAME. STREET ADDRESS (P.O. BOXES ACCE
Claim a $100 Prepaid Visa® Card with the purchase of any LUVERNE™ Journeyman™ HD Bumper between 12/01/17 and 01/31/18.* *If purchased online: the purchase date, not the shipping date, must fall in the eligible promotional dates shown above. THIS OFFER IS ONLY VALID TO THE END-CONSUMER. WAREHOUSE AND INSTALLER PURCHASES ARE EXCLUDED.

TO CLAIM ONLINE

TO CLAIM BY MAIL

Mail this form and all required proof of purchase documents to:

LUVERNE Offer #LV1001, PO Box 130021, El Paso, TX 88513 1. BUY A QUALIFYING LUVERNE PRODUCT between 12/01/17 and 01/31/18. 2. CUT OUT THE ORIGINAL 12-DIGIT UPC BAR CODE from the product packaging and attach to this form or a separate piece of paper. If the 12-digit UPC bar code is a sticker on the product that is not easy to remove, you may submit a clear picture or photocopy of the 12-digit UPC bar code instead. If the product was professionally installed, a copy of the installation receipt or work order, with qualifying LUVERNE part clearly identified, may be submitted in lieu of the 12-digit UPC Bar Code. 3. INCLUDE A COPY OF THE DETAILED PURCHASE/INSTALLATION RECEIPT or online purchase confirmation detailing the purchase date, qualifying product description, price paid, quantity and THE ELIGIBLE ITEM CIRCLED. Packing slips will only be accepted when attached to proof of purchase (such as with an order acknowledgment email showing price paid/quantity), with the eligible item circled. 4. TO CLAIM BY MAIL, send the following: ✓ A copy of this completed form ✓ The 12-digit UPC Bar Code taped to this form or a piece of paper (or installation receipt) ✓ A copy of your register receipt/proof of purchase with the purchase date, qualifying product description, price paid, quantity AND THE ELIGIBLE ITEM CIRCLED. ✓ ALL REBATE REQUESTS MUST BE POSTMARKED NO LATER THAN 03/01/18.

Digitally upload your submission receipts online instead of mailing in!

Log onto CurtRewards.com (click on File Reward Online) 1. BUY A QUALIFYING LUVERNE PRODUCT between 12/01/17 and 01/31/18. 2. TAKE & SAVE A DIGITAL PICTURE THE ORIGINAL 12-DIGIT UPC BAR CODE from the product packaging. If the product was professionally installed, a clear, readable image of the installation receipt or work order, with qualifying LUVERNE part clearly identified, may be submitted in lieu of the 12-digit UPC Bar Code. 3. TAKE & SAVE A DIGITAL PICTURE OF OR SCAN THE DETAILED PURCHASE/ INSTALLATION RECEIPT or online purchase confirmation detailing the purchase date, qualifying product description, price paid, quantity and THE ELIGIBLE ITEM CIRCLED. Packing slips will only be accepted when attached to proof of purchase (such as with an order acknowledgment email showing price paid/quantity), with the eligible item circled. 4. TO CLAIM ONLINE at CurtRewards.com, be prepared to submit: ✓ A digital picture/scan of this completed form ✓ A digital picture/scan of the 12-digit UPC Bar Code (or installation receipt) ✓ A copy of your register receipt/proof of purchase with the purchase date, qualifying product description, price paid, quantity AND THE ELIGIBLE ITEM CIRCLED. ✓ ALL REBATE REQUESTS MUST BE UPLOADED NO LATER THAN 03/01/18. ALL UPLOADED IMAGES MUST BE CLEAR ENOUGH TO READ ALL REQUIRED INFORMATION.

ALL MAILED IN SUBMISSIONS MUST COMPLETE THE INFORMATION IN THIS SECTION FIRST AND LAST NAME

DAYTIME PHONE NUMBER (INCLUDE AREA CODE)

STREET ADDRESS (P.O. BOXES ACCEPTABLE ONLY IN AK)

PURCHASE DATE

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CITY

STATE

Check here if you'd like to receive promotional messages, including special discounts and offers, from CURT PRODUCTS GROUP and its brands.

ZIP CODE

EMAIL (SUPPLYING YOUR EMAIL ADDRESS WILL ALLOW US TO COMMUNICATE YOUR REBATE STATUS)

YOU MUST CIRCLE your qualifying product number, description and price paid on your purchase receipt in order to be considered for this offer AND provide the information requested below. 12-digit Product UPC # from Box: __________________________ Product Part # from Receipt: ______________________________

YOU MUST INCLUDE the original UPC bar code from the product packaging (tape here) or include a clear picture or photocopy if the code is not easy to remove. If you need more space, please attach a separate sheet.

Product Name: ___________________________________________

FOR FURTHER ASSISTANCE OR TO CHECK YOUR REBATE STATUS, PLEASE LOG ONTO CURTREWARDS.COM OR CALL 855-707-7554. TERMS AND CONDITIONS: REBATE CANNOT BE COMBINED WITH ANY OTHER REBATE OFFER - PURCHASE RECEIPT CAN ONLY BE CLAIMED ONCE FOR EACH QUALIFYING PRODUCT PURCHASED. This offer is valid for mailing addresses in the United States only. This offer is an end-consumer rebate offer, not available to dealers, installers, distributors, retailers or manufacturers’ representatives individual or stocking orders. Offer valid on purchase of specified product(s) at specified Retailers or websites only. Returned products are not eligible for a rebate. Postage and sales tax are req uired for mail-in rebates and are not reimbursed. Requests with invalid or undeliverable mailing addresses will be denied. Offer limited to end-users only and rebate rights cannot be transferred. This offer is void where taxed, restricted or prohibited by law. Keep copies of all material submitted: originals become Manufacturer’s property and will not be returned. Warning: Fraudulent submission could result in federal prosecution under mail fraud statutes (Title 18, USC Sections 1341 & 1342). Manufacturer and Fulfillment Center are not responsible for lost of misdirected mail. This offer must be submitted for by the postmark date shown on this form and is no longer valid if not fully redeemed/resolved within four (4) months from purchase date. Payment will be mailed within 10–12 weeks of complying with and properly completing the rebate submission requirements. If you have not received your payment after 12 weeks or have questions about your rebate, call 855-707-7554, Monday–Friday, between 8:00 am and 7:30 pm EST. Cards are issued by Sunrise Banks N.A., Member FDIC, pursuant to a license from Visa U.S.A Inc. Visa is a registered trademark of Visa U.S.A Inc. This card can be used everywhere Visa cards are accepted. Cards expire 6 months from date issued. See Cardholder Agreement for terms and conditions.