Autozone Rebate Form – Fill Out and Use This PDF

AUTOZONE, INC

REBATE OFFER

REBATE RULES:

Mail-in Rebate for $15 on a pair of

____Check here if you would like to

SilverStar zXe Headlights.

receive SYLVANIA specific

promotional communications

REBATE FORM

Name:

....................

Valid for AUTOZONE purchases only.

Address:

Offer expires 12/12/2011. To qualify

for this offer you must fully

City:

....................

complete and mail this original

State:

form, along with the original UPC

codes and your original cash

Zip:

....................

register receipt(s) with prices

Email:

circled. You must submit originals

Start Date: 10/18/2011

only photocopies will be rejected.

Receipt(s) must be dated between

End Date: 12/12/2011

10/18/2011 and 12/12/2011.

Postmark Date: 01/12/2012

Submissions must be postmarked no

later than 1/12/2012. $15 maximum

Received By Date: 01/26/2012

refund per submitted valid proof of

REDEMPTION REQUIREMENTS

purchase. Value of rebate will be

To claim $15 on a pair of

determined based on actual products

SilverStar® zXe Headlights:

purchased. Limit of two rebate

Buy: Two (2) SilverStar zXe

claims per household or address.

headlight bulbs

Original REBATE FORM and UPC

Send: 1. Original UPC symbol from

barcodes only. Submissions that do

package

2.Original Rebate coupon

not include original UPC codes will

3. Original cash register receipt

be rejected. Multiple requests from

with price circled.

groups, clubs or organizations will

Valid SilverStar zXe Twin Pack UPC

not be honored or acknowledged.

Codes (1 UPC Barcodes Required to

Rebate only available to residents

Qualify): 46135355752, 46135355776,

of the U.S. and is void where

46135355790,

46135355813,

prohibited, taxed or otherwise

46135355837,

46135355899,

restricted by law. Photocopied

46135355851

receipts and UPC symbols will be

eliminated without response. Not

CHECK REBATE

responsible for lost, stolen,

STATUS:http://www.cmspromocheck.com/

damaged, ineligible, illegible or

sylvania

misdirected mail. Rebate materials

Customer.Service@sylvania.com

will become the property of OSRAM

SYLVANIA Inc. and will not be

Mail All Required Materials:AZ-ZXE1

returned. Retain a copy of

PO Box 426008

submitted materials as proof of

Del Rio,TX

78842-6008

purchase. Fraudulent claims will be

prosecuted to the fullest extent of

the law. Please allow 8 weeks for

refund. State law may provide you

with additional rights with regard

to this rebate coupon. Not valid for

government customers. Not valid on