JIFFY LUBE® SERVICE CERTIFICATE PROMOTION REQUEST FORM

INTERNET ACCESS IS REQUIRED.
Offer period is March 1, 2015 - May 31, 2015

To receive your service certificate of up to $15, to use on your next purchase of a Jiffy Lube Signature Service® oil change at the original purchase location, and with qualifying purchase, your basketball:

1 Purchase one of the following qualifying motor oil changes:
  • Purchase a full synthetic motor oil change and receive a $15 service certificate1 plus also receive a full-sized basketball by mail2

  • Purchase a synthetic blend or high mileage motor oil change and receive a $10 service certificate1

2Complete and submit this form by clicking the 'SUBMIT' button at the bottom of this page.


3
Upload a photo or scan image of your printed and dated Jiffy Lube identified service receipt showing the required purchase between March 1, 2015 and May 31, 2015 on the next page.

Receipt must specify that a qualifying full synthetic, synthetic blend, or high mileage motor oil change was purchased (brand and product required on the invoice).


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