Information you provide on this form may be used to evaluate and support your participation in the promotion program, for Valvoline’s marketing purposes, and for other legally-permitted purposes. Learn more about Valvoline’s privacy practices at Valvoline.com/privacy-notice. Requests must be postmarked by 12/1/2021 and received by 12/8/2021. After receipt validation, you will receive an email for electronic payment. Please check spam/junk folder if email does not appear. Allow up to three weeks for email confirmation. Upon failure to indicate a payment choice, mailed check will be the default option. You may be asked for further information for verification depending on your selection of rebate method. Please allow up to eight weeks to receive your rebate. Purchase requirements exclude any and all taxes, shipping and handling charges. Offer is NOT eligible at retail store locations (Walmart, AutoZone, Advance, O’Reilly, Meijer, etc.). Limit two request per individual, household or address for a maximum rebate allowed of $40. Requests must be made on this special order form and may not be mechanically reproduced. THIS OFFER CANNOT BE COMBINED WITH ANY OTHER VALVOLINE OFFER. NO GROUP SUBMISSIONS. MULTIPLE SUBMISSIONS WITH SEPARATE ADDRESSES WILL NOT BE ALLOWED. Trading of proof-of-purchase is strictly prohibited. This offer is limited to the 50 United States. Offer not eligible in the state of RI, or where otherwise prohibited. Requests from P.O. Boxes will not be honored except in Alaska. Use of fictitious names, addresses or organizations to obtain additional premiums is fraud and is in violation of Federal Law, and may result in prosecution and a term of imprisonment, fine or both. Offer void where prohibited, taxed or otherwise restricted by law. For rebate status updates, please go to www.valvolinetracker.com. Materials become the property of Valvoline, LLC.