Core Rebate Form

GET A REBATE TOWARDS A NEW PUMP ORDER

• Fruitland Dealers will accept ANY used Fruitland or other branded pump (rotary vane, liquid cooled, liquid ring or blowers) in any condition can be submitted to qualify for the Fruitland rebate.

• The whole vacuum pump with original serial tag or only the original serial tag and oil pump in lieu of the physical core, must be submitted to qualify for a rebate.

• This form must include images of the serial tag and oil pump attached

• Rebate amount can only go towards new orders of the following pumps: RCF500, RCF870 or RCF1400

• Dealers can send in multiple Rebate forms however only ONE Rebate amount can be applied per pump purchase.

• Does not apply to Eliminator packages and in conjunction with Eliminator package components.

• Rebate cannot be combined with any other offer

• Rebate is offered to approved Dealers ONLY.

• Pumps sold under the rebate program are FINAL SALE.

Core Rebate Form

To be completed by an approved Authorized Fruitland Dealer

Dealer Name(Required)

Company

Dealer Representative Name(Required)

First Representative's Position

Federal Tax ID of Dealer(Required)

Name of Pump Owner/End User(Required)

First Last

Name of who brought in the pump

End User's Email(Required)

Name of Original Seller

Company

Original Seller's Address

Street Address Address Line 2 City ZIP Code

Vacuum Pump Information

Do you have the pump on hand?

Information of Used Pump You're Trading In(Required)

Upload Picture of Pump's ID # or Oil Pump Serial #(Required)

Drop files here or

Max. file size: 50 MB.

New Pump Purchase You'd Like The Rebate To Go Towards(Required)

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