Offer 66004 - Certified Service Transmission & Engine Rebate

Program Dates: 02/22/2017 - 04/30/2017

$200 GM Visa? Prepaid Card Powertrain Offer

To receive your Visa prepaid card by mail follow these conditions of acceptance:

1) Purchase a Genuine GM Parts Engine, Transmission or Transfer Case for a Chevrolet, Cadillac, Buick, GMC, Pontiac, Oldsmobile, Saturn or Hummer (excludes Saab) vehicle and have it installed at an Independent Service Center between February 22, 2017 and April 30, 2017.

2) Complete all information requested accurately and legibly. For faster processing you can also submit online at and follow the instructions.

3) Make a clean, legible copy of your Invoice/Repair Order including the shop identification and circle the purchase(s) and installation of the qualifying service.

4) Mail the copy of your Invoice/Repair Order and this completed rebate form to the address below. Submission must be postmarked by May 31, 2017.

Mail to:

ISC Consumer Rebate Offer Offer Number 66025 PO Box 6970 Mesa, AZ 85216

TRANSMISSIONS EXCLUDES: Saab, Chevrolet Medium/Heavy Duty Trucks and GMC Medium/Heavy Duty Trucks

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

*First Name

Customer Information Section

*Last Name

*Denotes Required Field

*Address

*City

*State

*Zip Code

Email

Phone

To read the GM Privacy Statement, go to privacy *Shop Name

*Shop Zip Code

*Date of Service (MM/DD/YY)

*Invoice/Repair Order Number

*Vehicle Year

*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 Part Number(s) found on your Invoice/Repair Order must be included on this form. If the Part Number(s) is not included on your Invoice/Repair Order, contact your shop to obtain the required information.

*How did you first hear about this offer?

Online

Dealership Employee

Other

Where do you normally have your vehicle repaired?

Dealership

Home (DIY)

Local Independent Service Chain

National Chain

*Did this rebate influence your decision to purchase Genuine GM parts?

Yes, I was also considering an aftermarket competitor. No, I always buy GM OE parts for quality. No, the rebate did not affect my purchase decision.

If you have not received your prepaid card within 8 weeks after the postmark date of your qualified submission, or if you have questions about your submission, you may visit or call 844-656-5369 weekdays, 7am to 11pm EST.

Offer valid for customers who have the service performed at a participating shop located in the United States. Approved rebate submissions will receive a Visa prepaid card. 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 and U.S. territories. This offer is not valid on products being replaced under warranty. Fleet and Commercial customers are 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) redemption 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 postagedue submissions. Any excessive submissions, misrepresentation or fraudulent information disqualifies the rebate. 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. Rebate paid in the form of a Visa prepaid card. The Visa prepaid card is not redeemable for cash or usable at any ATM. Terms and Conditions apply to the card. Subject to applicable law, a monthly maintenance fee of $3 (USD) applies, but is waived for the first twelve months after the card is issued. Cards are issued by Citibank, N.A., pursuant to a license from Visa U.S.A. Inc. and managed by Citi Prepaid Services. This card can be used everywhere Visa debit cards are accepted. General Motors reserves the right to substitute a check of equal value in lieu of a Visa prepaid card at its discretion. Please allow up to 8 weeks for delivery of the rebate.

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