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Check box only if you do not want to be contacted with additional marketing information
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I Agree *
Within 30 days of the motorcycle purchase (if the course was taken prior) or within 6 month time period after the purchase of my new, previously untitled Triumph motorcycle, I completed an on-road New Rider training program or course conducted by the Motorcycle Safety Foundation or the National Motorcycle Institute. I request that I be issued a gift card, with the value of up to $225, to partially reimburse me for the cost of this course. Customer has up to 30 days to submit rebate application after the completion of the course of after the purchase of the bike. 

In addition to this completed form, the following required documentation is attached:

* An original (or legible copy) Certificate, or other verification of successful completion of a Motorcycle Safety Foundation new rider or National Motorcycles Training Institute training program or course, including my name as the participant and the date of completion of the course. 
*An original (or legible copy) dated receipt for the purchase of the Motorcycle Safety Foundation or National Motorcycles Training Institute new rider training program or course.



By checking this box, I acknowledge the following:

Terms of Offer:

Rebate is limited to one (1) rider per motorcycle. the maximum amount of the gift card is the cost of the course or $225, whichever is lower. LATE SUBMISSIONS WILL NOT BE ACCEPTED. Offer good only in the United States of America. Motorcycle purchase must be at an authorized Triumph dealer. Purchases made through online auction houses and purchases of refurbished or previously sold or titled motorcycles do not qualify. Rebate form is not transferrable. Omission of course completion document, receipt of course payment, or other required information will delay or disqualify your application. All submitted documentation becomes the property of Triumph Motorcycles (America), Ltd. (TMA) and cannot be returned. TMA and it's authorized dealers are not responsible for lost, late, illegible, incomplete, damaged or misdirected submissions or postage due requests/mail. Keep a copy for your files. ALL CLAIMS SUBJECT TO AUDIT.

I hereby certify that all of the information submitted herein is true and correct
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