VISION X - VORTEX LED HEADLIGHT

REBATE FORMValid: April 1, 2016 – June 30, 2016

Eligible VISION X Products. Please check the box that applies to your purchased product.

Vortex LED Headlight Kit - Polished Chrome Vortex LED Headlight Kit - Black ChromeXIL-7RDKIT / 9891224 (incld: H4 to H13 Plug) XIL-7RDBKIT / 9892443 (incld: H4 to H13 Plug)

XIL-7RDKITJK / 9892733 (incld: CAN Bus Modules & H13 Plug) XIL-7RDBKITJK / 9892825 (incld: CAN Bus Modules & H13 Plug)

To receive your $50 REBATE check you must purchase (1) qualifying VISION X product between April 1 – June 30, 2016 complete the rebate form as directed, and mail it in by July 31, 2016. Offer is good only on the first retail sale of qualifying products that are purchased new. This offer does not include installation, shipping cost or taxes. Offer does not apply when product is replaced under warranty

Complete this entire form and attach the following items: (Postmarked no later than July 31, 2016)

1. Copy of original receipt for the purchase of the qualifying part showing the part number and purchased

price.

2. The original UPC barcode label from the Vision X box. See Sample UPC Label.

3. Completed Submission Form.

COMPLETE THE FOLLOWING AND MAIL WITH REQURIED FORMS

First Name: __________________________________Last Name:________________________________________________

Address: _____________________________________________________________________________________________

City: __________________________________________State:_________________________Zip Code: _________________

Email: _________________________________________________Phone_________________________________________

Vision X Product Part Number Purchased:

(1) _________________________________________ (2)_____________________________________________

Vehicle Make_________________________Vehicle Year______________________Vehicle Model__________________

TERMS AND CONDITIONSLimit ONE (1) rebate per eligible product, per person, address, or household. Offer valid only in the United States. This is an end user offer. Purchases made on eBay or other similar online auction websites do not qualify for this promotion. Allow 4-6 weeks for processing from Vision X’s receipt of offer form and all required proofs of purchase. Not valid with any other rebates, offers, or any other discounts. This offer has no cash value. Keep a copy of this completed rebate form for your reference. Not responsible for lost, late or undelivered mail. All documents must be mailed to the address below, postmarked no later than July 31, 2016, to complete your offer submission:

Vision X Rebate Center1601 Boundary Blvd. Auburn, WA 98001

For further assistance, or status of your rebate, call (800) 994-4460 or email Rebate@visionxusa.com