THANK YOU FOR SHOPPING AT PEP BOYS!

JANUARY 4, 2016 – JANUARY 31, 2016
PEP BOYS VISA® PREPAID CARD
REBATE CLAIM FORM
(CANNOT BE COMBINED WITH ANY OTHER OFFER)
Please Print Clearly:
Name
Address
State
City
Phone (
E-mail
ZIP
)
I would like to receive e-mail from Pep Boys on product promotions and other Pep Boys services.
Signature
Must be signed
and dated
Please Sign Your Name Here
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 JANUARY 4, 2016 – JANUARY 31, 2016.
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: http://www.pepboys.com/rebates 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 Citibank, N.A.
pursuant to a license from Visa U.S.A. Inc.
Mail to:
Pep Boys January 2016 Rebates
PBA-160101
PO Box 751602
El Paso, TX 88575-1602
By completing this rebate request, I accepted and complied, or will
comply with all of the Conditions of Acceptance for this rebate offer.
Date
Submit online at: http://www.pepboys.com/rebates
Get exclusive
online SERVICE,
PARTS, TIRES and
ACCESSORY offers
at pepboys.com
Terms & Conditions: Offer valid for purchases at Pep Boys locations in the continental United States and Puerto Rico. Visa Prepaid Cards will be paid in United States dollars only
to United States and Puerto Rico 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 5/21/2016
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). Cards are issued by Citibank, N.A. pursuant to a license from Visa U.S.A. Inc.
and managed by Citi Prepaid Services. Visa Prepaid Cards cannot be redeemed for cash and cannot be used for cash withdrawals. Visa Prepaid Cards can be used
everywhere Visa debit cards are accepted. 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: http://www.pepboys.com/rebates/.
ACCESSORIES AND LIGHTING
Product
Shelter Logic 10' x 20' Car Port Canopy (#25757)
10' X 20' Auto Shelter (#62680)
Philips Vision Twin Pack Headlamps (various #'s)
Phillips Vision Plus Twin Pack Headlamps (various #'s)
Philips Xtreme Vision Twin Pack Headlamps (various #'s)
Bondtech Truck and SUV Covers (various #'s)
Premiumtech/Barret-Jackson Car Covers (various #'s)
Premiumtech/Barret-Jackson Truck/SUV Covers
(various #'s)
Bondtech Car Covers (various #'s)
Peak 1 Million Candlepower Spotlight (#PKC01MB)
Peak 2.5 Million Candlepower Spotlight (#PKC02MB)
Peak 5 Million Candlepower Spotlight (#PKC05MB)
Product
Rebate Amount Rebate Limit Item Qty.
$10.00
$20.00
$7.00
$10.00
$15.00
$20.00
$20.00
$20.00
$5.00
$10.00
$10.00
$15.00
2
2
2
2
2
2
2
2
Rebate Amount Rebate Limit Item Qty.
$5.00
$5.00
$5.00
$5.00
4
4
4
4
Product
JUMPSTART
Rebate Amount Rebate Limit Item Qty.
Pilot Lightning LITHIUM-ION Jump Start (#CA-9802)
Autolectric 12K MAH Lithium-ION Jumpstart
(#JMP12GPBL)
Autolectric 14K MAH Lithium-ION Jumpstart
(#JMP14GPBL)
Product
2
2
2
2
ANTIFREEZE
Peak Long Life FS (#PRA003)
Peak Long Life 50/50 (#PRA053)
Final Charge 50/50 Antifreeze (#FXA053)
Peak 33% Antifreeze (#PKABW8)
Rebate Total
Rebate Total
$20.00
$20.00
2
2
$20.00
2
OIL/FILTER
Purchase 5 Qt. Container Or (5) 1 Qt. Of Valvoline
Maxlife HIgh Mileage Motor Oil (Various#S) With A
Purolator Classic Oil Filter
Purchase 5 Qt. Container Or (5) 1 Qt. Of Valvoline
Conventional Motor Oil (Various#S) With A Purolator
Classic Oil Filter
Purchase 5 Qt. Container Or (5) 1 Qt. Of Valvoline
synthetic Motor Oil (Various#S) With A Purolator Classic
Oil Filter
Rebate Amount Rebate Limit Item Qty.
$3.00
2
$3.00
2
$3.00
2
THANK YOU FOR SHOPPING AT PEP BOYS!
Submit online at: http://www.pepboys.com/rebates
Rebate Total
Rebate Total
JANUARY 4, 2016 – JANUARY 31, 2016
PEP BOYS VISA® PREPAID CARD
REBATE CLAIM FORM
(CANNOT BE COMBINED WITH ANY OTHER OFFER)
Product
SERVICE
Rebate Amount Rebate Limit Item Qty.
Purchase a Mobil 1 Synthetic Motor Oil Change
Service (various #'s)
Select Packages Front and/or Rear Precision Match
Brake Service
Select Packages Front and/or Rear ProStop, Bosch or
Akebono Brake Service
Get $75 back on Installation after mail in rebate with the
purchase of 2 Struts, (2) struts per axle
Get $75 back on installation after mail-in rebate with the
purchase of 4 shocks
Get $10 back on Basic Wheel Alignment 90 days/4,000
Mile Warranty
Get $20 back on 1-Year Wheel Alignment/12,000 Mile
Warranty
Get $30 back on 5-Year Wheel Alignment/Unlimited
Mile Warranty
Free Hitch Installation with Hitch Purchase
- HITCH MUST BE PURCHASED
$25.00
2
$50.00
2
$40.00
2
$75.00
2
$75.00
1
$10.00
2
$20.00
2
$30.00
2
$49.99
2
Rebate Total
Product
Big Red 2 Ton Promo Jack (#T82002)
Big Red 2 Ton Black Jack (#T82015W)
TOOLS
Rebate Amount Rebate Limit Item Qty.
$5.00
$5.00
2
2
TOTAL EXPECTED VISA PREPAID CARD AMOUNT:
THANK YOU FOR SHOPPING AT PEP BOYS!
Submit online at: http://www.pepboys.com/rebates
Rebate Total