Power your project with the next level of crate engine convenience

CRATE POWERTRAIN SYSTEMS
CONSUMER REBATE
LS3 (6.2L) Connect
and Cruise System
CPSLS34L65E
*Certified Service Visa® Prepaid Card rebate when all system
parts are purchased on the same invoice from a dealer or
Authorized Retailer January 1, 2014 to December 31, 2014.
Rebate limited to two per household.
Power your project with the next level of crate engine convenience, assurance and value!
Chevrolet Performance pioneered the concept of crate engines more than four decades ago, and continues to lead the industry with the exclusive
Connect & Cruise Crate Powertrain Systems – factory-engineered engine-and-transmission combinations that include all the electronic control
modules, wiring harnesses and other key components. Now available in 12 different combinations including emissions-certified E-ROD packages!
** Torque Converter 24217235 requires the purchase of a flywheel kit.
See back for complete details and Connect & Cruise Crate Powertrain Claim Form. For more
information on Connect & Cruise Crate Powertrain Systems, see page 198 in the 2014 Chevrolet
Performance Catalog. Pricing may vary. See your Chevrolet Performance Dealer for local pricing.
chevroletperformance.com
Program Dates: 01/01/2014 - 12/31/2014
Connect & Cruise Crate Powertrain Consumer Rebate
GM Certified Services Visa® Prepaid Card Offer
To receive your Visa prepaid card by mail follow these conditions of acceptance:
1) Purchase a Chevrolet Performance Crate Powertrain system between January 1, 2014 and December 31, 2014.
2) Complete all information requested on this form accurately and legibly.
3) Make a clean, legible copy of your Invoice/Repair Order including the dealer identification and circle the purchase(s).
4) Mail a copy of your Invoice/Repair Order and this completed rebate form to the address below.
Submission must be postmarked by January 31, 2015.
Mail to: Connect & Cruise Powertrain Rebate
Offer # 14-79243
PO Box 540062
El Paso, TX 88554-0062
5) To check the status of your submission, visit the “My Rebate Status” section at www.mycertifiedservicerebates.com.
(!) IMPORTANT: Photocopy your entire submission for your records. You may be required to mail or fax these photocopies.
Customer Information Section
*First Name
*Denotes Required Field
*Last Name
*Address
*City
*State
*Zip Code
Email
Phone
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*Dealership/Retailer Location
*Dealer/Retailer Zip Code
*Date of Service (MM/DD/YY)
*Invoice/Repair Order Number
Check the box next to the Model and corresponding 8 digit GM Part Numbers for the system purchased on your Invoice/Repair Order.
CPSLC94L65E - $500 Rebate
19259918
17803807 or 19299802
19259914
19302405
19260380
19259117
CPSLC9ER0D4L70E - $500 Rebate
19258004
17803807 or 19299802
19260931
19302405
19259117
CPSLC94L70E - $500 Rebate
19259918
17803807 or 19299802
19259914
19302405
19260961
19259117
CPSLS34L65E - $500 Rebate
19301326
17803808 or 19299802
19258270
19257634
19260380
19302405
CPSLC9ER0D4L65E - $500 Rebate
19258004
17803807 or 19299802
19260380
19302405
19259117
CPSLS3ER0D4L65E - $500 Rebate
19257230
17803807 or 19299802
19260380
19302405
19259117
CPSL3764804L70E - $500 Rebate
19301358
19299803
19258267
19302405
19259117
19299055 or 19260961
CPSL3765254L70E - $500 Rebate
19301360
19299803
19259261
19302405
19299055
19259117
All of the applicable 8 digit GM Part Numbers must be purchased on the same Invoice/Repair Order and must match what is checked on this form.
*How did you first hear about this offer?
Online
Mailer
Dealership Employee
Signs at the Dealership
CPSLSAER0D4L85E - $750 Rebate
19257456
19300175
19302410
19125597
19259119
24217235 or 19299806
CPSLS74L70E - $750 Rebate
19244098
19258553
19299055
19302405
19259117
19299802 or 19299803
CPSLSA4L85E - $750 Rebate
19260164
19302410
19259293
19259119
19300175
24217235 or 19299806
19125597
SEMA/Trade Show
Other
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, call (855) 806-3232 weekdays, 8am to 7pm CT.
Rebates are available to customers who have purchased the parts detailed above at a participating Chevrolet, Buick, GMC, Cadillac dealer or a Powertrain retailer located
in the United States. Your right to receive this rebate will not be earned unless you satisfy the rebate requirements as outlined on this rebate application. Failure to comply
with the rebate requirements will disqualify your rebate. This offer is available to all customers with mailing addresses in the United States and U.S. territories. This offer
is not valid on products being replaced under warranty. This offer is for retail customers only. Fleet and commercial customers are not eligible for this offer. Internal
dealership sales are not eligible for this offer. This offer cannot be combined with any other General Motors offers, unless specified in writing by General Motors. Limit one
(1) rebate per service performed per service date and vehicle. Your rights to this offer 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 postage-due submissions. Excessive submissions
constitute fraud and may result in federal prosecution under the U.S. mail fraud statutes (Title 18, USC 1341 and 1342). Any misrepresentation or fraudulent information
disqualifies the rebate and may give rise to criminal or civil prosecution. All rebates shall be governed by applicable state and federal laws. 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 six months after the card is issued. Your card is issued by MetaBankTM, Member FDIC, pursuant to a license
from Visa U.S.A. Inc. Cards can be used at any merchants that accept Visa debit cards within the United States and US Territories. 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.