Mail-in rebate valid between01/01/2012 to 06/30/2012on ACDelco Spark Plugs listedbelow when purchased fromparticipating retailers.

Submissions must be postmarked by 07/31/2012 and received by 08/15/2012. Please allow 6-8 weeks for processing.To check the status of your rebate, visit www.rebate-zone.com/acdelco or call 1-866-805-1832 weekdays, 8am to 7pm CT.

Professional Iridium Professional Platinum Rapidfire Professional ConventionalSee reverse side for complete details.

Put some “SPARK” back in your wallet with ACDelco’s Spark Plug Consumer Rebate!

up toReceive

Name: ________________________________________________________________________________________________________________

Address (No P.O. Boxes): _________________________________________________________________________________________________

City: _____________________________________________________________ State: ___________________ Zip: ________________________

To read the GM Privacy Statement, go to www.gm.com/privacy.This offer is available to all customers with mailing addresses in the United States and U.S. territories. This offer is for retail customers only. Your right to receive this rebate will not be earned unless you satisfy the rebate requirements as outlined on this rebate application. Rebate is paid on a maximum of 16 Spark Plugs per household not to exceed $32.00. Rebate checks will be paid in US Dollars and expire within 90 days of issuance. ACDelco is not responsible for lost, late, damaged, misdirected or postage-due submissions. Illegible and/or incomplete submissions will not be honored. No mechanical reproductions of this form, the UPC or receipt allowed. Requests from P.O. boxes, groups, or organizations will not be honored or acknowledged. Your rights to this offer cannot be assigned or transferred and this offer is void where taxed, restricted or prohibited by law. This offer cannot be combined with any other offer, unless specified in writing by ACDelco. Excessive submissions constitute fraud and may result in federal prosecution under the U.S. mail fraud statutes (Title 18, USC 1341 and 1342). All submitted materials become property of ACDelco and will not be returned.

To receive your rebate by mail:1. Rebate is valid on professional and Rapidfire spark plugs purchased or installed between 1/1/12 and 6/30/12.

2. Complete all information accurately and legibly.

3. Enclose original, dated receipt or copy of original dated receipt from a retailer or paid Repair Order from an installer with Part Number detail.

4. If purchased from a retailer, enclose UPC blocks from the individual qualifying ACDelco Spark Plug boxes.

5. Mail all materials listed above to:

ACDelco Spark Plug RebateOffer # H443020PO Box 101206White Bear Lake, MN 55110-1201

Quantity(miminum 4 spark plugs)

________________

________________

________________

________________

Rebate per plug

x $2.00 =

x $1.50 =

x $1.00 =

x $ .50 =

Total Rebate(Maximum $32)

$________________

$________________

$________________

$________________

ACDelco Spark Plug Type

Professional Iridium

Professional Platinum

Rapidfire

Professional Conventional

AM-FM-0254-11

Grand Total: $ ________________