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 12/30/23 and received by 1/6/24. Please allow up to eight weeks to receive your rebate. Offer is only valid at Blain’s Farm and Fleet store locations. Limit ONE per individual, household or address. 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 VGP Holdings, LLC.