November 23, 2017 – November 27, 2017PEP BOYS VISA® PREPAID CARD

REBATE CLAIM FORM(CANNOT BE COMBINED WITH ANY OTHER OFFER)

Rebate Limit Rebate TotalProductAIR COMPRESSOR

Rebate Amount Item Qty.

Cyclone Air Compressor, 12 volt (#MF-1040) $10.00 No Limit

THANK YOU FOR SHOPPING AT PEP BOYS!Submit online at: http://www.pepboys.com/rebates

Rebate Limit Rebate TotalProductLIFT EQUPIMENT

Rebate Amount Item Qty.Big Red 3 Ton Garage Jack (#T83002)Big Red 2 Ton Trolley Jack (#T82002)

$60.00$10.00

12

Rebate Limit Rebate TotalProductAPPEARANCE CHEMICALS

Rebate Amount Item Qty.Black Magic 23 oz Tire Wet (#BM23) $3.00 2

Mail to:Pep Boys November 2017 RebatesPBA-171105PO Box 750053 El Paso, TX 88575-0053

Get exclusive online SERVICE, PARTS, TIRES and ACCESSORY offers at pepboys.com

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 November 23, 2017 – November 27, 2017.2. 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 Sunrise Banks N.A., St. Paul, MN 55103, Member FDIC, pursuant to a license from Visa U.S.A Inc.

Terms & Conditions: Offer valid for purchases at Pep Boys locations in the continental United States. Visa Prepaid Cards will be paid in United States dollars only to United States 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 3/17/18 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). This Card is issued by Sunrise Banks N.A., St. Paul, MN 55103, Member FDIC, pursuant to a license from Visa U.S.A Inc. Cards will not have cash access and can be used Visa debit cards are accepted. Use of this card constitutes acceptance of the terms and conditions stated in the Cardholder Agreement. 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/.

Name

Address

State ZIPCity

Phone ( )

Please Print Clearly:

Must be signed and datedSignature

Please Sign Your Name Here

By completing this rebate request, I accepted and complied, or will comply with all of the Conditions of Acceptance for this rebate offer.

E-mailI would like to receive e-mail from Pep Boys on product promotions and other Pep Boys services.

Date

Submit online at: http://www.pepboys.com/rebates

TOTAL EXPECTED VISA PREPAID CARD AMOUNT:

Rebate Limit Rebate TotalProductACCESSORIES

Rebate Amount Item Qty.Shelter Logic 10' x 20' Carport Canopy (#25757)10' x 20' Auto Shelter (#62680)Vacmaster 5 Gallon Wet/Dry Vacuum (#VJC507P)

$30.00$30.00$20.00

222

Rebate Limit Rebate TotalProductSTEREO

Rebate Amount Item Qty.Boss 7" Flip Out In-Dash DVD (#BV9976B)Boss Double Din DVD Player (#BV9364B)

$20.00$20.00

22

Rebate Limit Rebate TotalProductBATTERIES

Rebate Amount Item Qty.Bosch Premium Batteries (various #s)Bosch Platinum AGM Batteries (various #s)

$20.00$30.00

22

Rebate Limit Rebate TotalProductJUMPSTART/POWER CENTER

Rebate Amount Item Qty.

Duracell 750 peak amp Jump-Start/Inflator (#DRJS20C)Duracell 900 peak amp Jump-Start/Inflator (#DRJS30C)Duracell 1,100 peak amp Power Center (#DR300PWR)Duracell 1,100 peak amp Lithium-ION Jump-Start (#DRLJS20)

$10.00$20.00$30.00$20.00

2222

Rebate Limit Rebate TotalProductELECTRONICS

Rebate Amount Item Qty.Magellan Road Mate 5635T-LM GPS, 5" Screen (#RM5635RGLUC)Magellan Road Mate GPS 9612T-LM, 7" Screen (#RM9612RGLUC)Peak 4.3in Wireless Backup Camera (#PKC0BU4)

$10.00

$10.00

$20.00

2

2

2