$100 Military Appreciation Mail-in Rebate Form
Please PRINT this form and clearly write in the information for each blank. Note: Forms with typed-in responses WILL NOT be accepted.

NAME:	______________________________________
ADDRESS:	______________________________________
	______________________________________
CITY:	______________________________________
STATE:	______________________________________
ZIP:	______________________________________
DAYTIME PHONE:	______________________________________
PART NUMBER:	______________________________________
SERIAL NUMBER:	______________________________________

OFFER DATE:		01/01/2005 TO 12/31/2005
POSTMARK DATE:		30 days from purchase

PROOF OF PURCHASE REQUIREMENTS:

This Rebate Form Copy of Receipt

Copy of Military ID Copy of Driver's License

Supercharger Warranty Card

MAIL ALL OF THE ABOVE TO:

Paxton $100 Military Appreciation Rebate          1650 Pacific Ave.          Oxnard, CA 93033

TERMS AND CONDITIONS:

Offer valid for the United States and Canada only on all Paxton supercharging systems (excluding 1001830 and tuner kits) purchased between 01/01/2005 and 12/31/2005 by active Military Personnel, National Guard, Coast Guard, Reservists or Retirees who are residents of the United States. Limit of one rebate per household or address. Offer void where prohibited by law. Paxton Automotive is not responsible for late, lost, mutilated, misdirected or postage-due requests. Requests from Paxton Automotive wholesalers or post office box addresses will not be honored or acknowledged. Use of fictitious names or addresses could result in federal prosecution for U.S. Mail Fraud. Make a photocopy of all materials submitted for your records. This offer can not be combined with any other promotion.

YOU SHOULD RECEIVE YOUR REBATE WITHIN 8 WEEKS. OR CALL PAXTON AUTOMOTIVE AT 1-805-604-1336.