Bacchetta Mail-In Rebate Redemption Form

Congratulations on participation in the Senior Games. Use this rebate form for Bicycle rebates offered exclusively to Senior Games participants. Please submit one form per item.

TO RECEIVE YOUR BACCHETTA MAIL-IN REBATE:
 1.	Purchase a new Bacchetta bicycle through any of our Texas authorized dealers during the rebate offer period. (January 1 – April 1 2019).  If there are no dealers in your area, please contact Bacchetta Bicycles directly for purchase. 
 2.	Ride your Bacchetta bicycle (new or current one) in any Senior Games located in Texas.
 3.	Complete this form and Mail or Scan/Email this completed form, along with a legible copy of your receipt/proof of purchase, your name, a picture of your race bib or entry form, bike serial number (located on the bottom bracket) to the following address (do NOT submit to retailer):

Bacchetta Recumbents
Attn: Senior Games Mail-In Rebate
4055 35th St. N Suite 500
St. Petersburg, FL  33708
Or email the above information to mike@bacchetta.com

By providing the information below and submitting this rebate form, you acknowledge and agree to the following Terms and Conditions:

Mail-In Rebate offer is valid only with purchases from authorized retailers in Texas or directly from Bacchetta during valid manufacturer’s mail-in rebate offer periods.  This offer may not be combined with any other discounts.  Not valid on used bicycles or bicycles purchased from an unauthorized retailer. Rebate form must be fully completed and include a legible copy of receipt from authorized retailer, proof of participation in Senior Games and bike serial number. The receipt must clearly depict the product purchased and purchase price. Retailers do not qualify to receive rebates. Rebate forms submitted to retailers do not qualify. Bacchetta is not responsible for lost, late, or misdirected mail.  Materials received become the property of Bacchetta and will not be returned. Dealers retain the right to substitute up to 50% of rebate in the form of store credit.  A minimum of 50% of the credit will be paid in cash. Rebate checks are ordinarily processed in 8-10 weeks. Rebate checks are void if not cashed within 90 days of issuance and will not be reissued. Void where prohibited or restricted by law. Availability and terms of offer may change without notice. By submitting rebate, you agree that your purchase is subject to the terms and conditions at http://www.bacchetta.com

Name___________________________________________________________________________

Address_________________________________________________________________________

City____________________________ State/Province______________ Postal Code_____________

Email Address___________________________________ Telephone Number__________________

Dealer Name/Location:  _____________________________ Rebate Amount:__________________