Promotion Claim – Pacific Energy

Thank you for making our 2023 Fire Up Your Savings Promotion a huge success.

Claims are only eligible for sales during the promotion period. No exceptions.
Only qualifying products are eligible for a rebate and a claim. No exceptions.
Make sure you have a digital version of a customer invoice clearly stating the date of purchase, the product name and the discount given at check-out.
Claims can only be submitted until November 20, 2023. Any late submission won’t qualify for reimbursement.
Submit only one claim at a time. Multiple sales in one form submission won’t be accepted.

Your claim(s) will be reviewed by Pacific Energy for eligibility.
Eligible claims will be sent to your distributor for review and approval.
Once both, Pacific Energy and your distributor, approve the claim, a credit will be issued.

Select Distributor(Required)

Dealership Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact(Required)

First Last

Phone(Required)

Email(Required)

Select discounted product(Required)

Copy of customer invoice(Required)

Customer invoice must clearly show the date of the sale, the product name and the discount applied to the final price.

Drop files here or

Max. file size: 15 MB.

Agreement(Required)

By submitting this form I agree to the terms and conditions of the 2023 Fire Up Your Saving promotion.

I agree to the terms of the promotion.