Request edit access
Rebate Program Application
Thank you for choosing T-REX Grilles/ZROADZ Dynamic LED Mounting Solutions! If you have any questions regarding the form or the Program please call our Customer Service at 800.287.5900 Monday - Friday: 8 - 5pm PST.
Email address *
Part number(s) purchased *
Purchased price *
Rebate amount *
Purchased from *
Name *
Address *
City *
State *
Phone number *
Vehicle's Year *
Make *
Model *
How did you hear about us? *
Why did you choose our product? Choose all that apply. *
Would you recommend our products to others?
Tag us online with a nice quality picture of your ride to have a chance to be featured on our social media channels!
Add you Instagram account to be featured:
Upload sales receipt showing date purchased, customer name, place of purchase, part number(s) and the sales amount. *
Picture of the original UPC label off of the box for every T-REX or ZROADZ product purchased *
Never submit passwords through Google Forms.
This form was created inside of T-Rex Products. - Terms of Service