Please complete the form below, print and present it to a participating Kenworth dealer.

 

Customer Name:
 
Mailing Address:
City:
 
State/Province:
Zip/Postal Code:
Contact Phone:
VIN #:
 
E-Mail Address:
Truck Make:
Please check one:
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Truck Model:
Pager     Message
  
Disclaimer: 
Limited to 1 coupon per purchase per customer. No cash value. Not valid with other discount offers. Not valid toward previously purchased merchandise. Coupon void if purchased, sold or bartered for cash. Customer is responsible for sales tax. Void where prohibited or restricted by law. May not be reproduced. Subject to all federal, state, provincial and local laws and regulations. Non-transferable. All products may not be available at all locations. Good only on purchase of product indicated. Coupon valid on retail purchases or service only. Any other use constitutes fraud. Valid at participating Kenworth dealer locations in the United States and Canada only.
  
Dealer Instructions: 
Redeem face value of coupon to dealer's customer at point of sale indicating coupon discount on customer invoice/repair order. Limited to 1 coupon per dealer's customer. To be reimbursed for face value of coupon, send redeemed coupon with all information completed to PACCAR Parts Accounting Dept., attn: Coupon Coordinator, 750 Houser Way N., Renton, WA 98055. Customer invoice/repair order showing coupon discount may be requested for validation prior to dealer reimbursement.
  
Dealer Code:
Invoice/Repair #:
Date of Sale: