BY MAILPER BULB

SAVE10$10$

Valid from 09/01/2015 Offer Expires 09/01/2017

www.sylvania.com/auto

Superior Quality from America’s #1 Automotive Lighting Manufacturer

See a store associate for assistance

D1SD1R

D2RD2S

D3RD3S

D4RD4S

HID TEARPAD15

For rebate status updates, visit us online at https://inmarrebates.com/sylvania/

Please send rebate to: (Please complete all fields.)

First & Last Name

Address

piZetatSytiC

rebmem PRAAliamE

Single Pack UPC Codes dilaVTo claim $10 on a single of XENARC® HID Headlight:Buy One (1) XENARC® HID headlightSend 1. Original UPC symbol frompackage

3. Original cash register receipt with price circled2. Original Rebate coupon

VALID ONLY AT O’REILLY AUTO PARTS Are you a repeat SYLVANIA customer?Yes No

Age of your vehicle getting these bulbs?

What motivated you to purchase these bulbs? (check all that apply)

My vision isn’t so great, especially at nightMy vision is fine, but my headlights seem weak or dimThese brighter and whiter bulbs are safer for my familyI typically feel more comfortable buying higher performance products for my carI just like the styling and cosmetic improvement of whiter lightsOther? Please comment

What or who helped you decide on these bulbs?Recommended by store personnel

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TV ad Print ad or article Web Previous ExperienceRecommended by friend, relative, etc. Other

For eligibility questions, e-mail us at:Customer.Service@sylvania.com

OFFER GOOD THROUGH 9/1/2017 ORLY-HID10

Mai

l to CMS Rebate Center

SYLVANIA REBATEProgram # ORLY-HID10PO Box 426008Del Rio, TX 78842-6008

Mail to

46135396574613539659

46135394794613539481

46135350994613535095

46135396614613539663

© 2015 OSRAM SYLVANIA Inc. SYLVANIA is a registered trademark of OSRAM SYLVANIA Inc. SilverStar is a registered trademark of Osram GmbH. iTunes, iPhone and iPad are registered trademarks of Apple Inc. Corporation.

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SAMPLE UPC

TERMS AND CONDITIONSOffer expires 9/1/2017. To qualify for this offer, you must fully complete and mail this original form, along with the original UPC codes and your original cash register receipt(s) with prices circles.

You must submit originals only - photocopies will be rejected. Receipt(s) must be dated between 9/1/2015 and 9/1/2017. Submissions must be postmarked no later than 10/15/2017. $10 maximum refund per submitted valid proof of purchase. Value of rebate will be determined based on actual products purchased. Limit of six rebate claims per household or address. Original REBATE FORM and UPC barcodes only. Submissions that do not include original UPC codes will be rejected. Multiple requests from groups, clubs or organizations will not be honored or acknowledged. Rebate only available to residents of the U.S. and is void where prohibited, taxed or otherwise restricted by law. Photocopied receipts and UPC symbols will be eliminated without response. Not responsible for lost, stolen, damaged, ineligible, illegible or misdirected mail. Rebate materials will become property of OSRAM SYLVANIA Inc. and will not be returned. Retain a copy of submitted materials as proof of 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. Only valid with product purchased from an O’Reilly Auto Parts. Not valid for government customers. Not valid on discounted or private resale purchases. Unless expressly prohibited by law, payee authorizes reasonable dormancy fees deducted if check not cashed within 180 days. Not valid with any other offer or discount at retail.