Claim
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Claim
Please complete all of the fields below so that your customer’s referral may be reviewed for approval. Once approved you will be CC:’d on an email to your customer with their instructions to receive the rebate check. If the submission is denied, you will receive an email with the denial reason.
Sales Rep Information
Sales Rep Name
Sales Rep Email
Existing Customer Information
Customer Name
Oracle Account #
Contact Name
Contact Phone
Contact Email
New Customer Information
Customer Name
Oracle Account #
Order #
Order Date
Invoice Date
Model(s) Purchased
CLEAR FORM
SUBMIT