This form is to be used for submitting information regarding US Loyalty Program submissions only, all other submissions will be discarded*.
*All rebate requests and parts to be received no later than June 30, 2018

Rebate Remittance Information

Name

Company

Phone

Address

City

State

Zip

Email


Please make sure to provide information for all 3 fields. Example Model : PF46 or PF56 Serial Number: 321798 / 1990078-011

Trade-in Model
Trade-in Serial Number
New Fryer Serial Number
Trade-in Model
Trade-in Serial Number
New Fryer Serial Number
Trade-in Model
Trade-in Serial Number
New Fryer Serial Number
Trade-in Model
Trade-in Serial Number
New Fryer Serial Number
Total Rebate Requested
(Qty of new fryers x $300)

I agree to be bound by the Terms & Conditions of Sale.


An email will be sent to the address you have provided above confirming that your submission was successfully sent. Please save for your records. If you do not receive that email, please call Winston Customer Service at 1-800-234-5286 or 502-495-5400.

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