Loyalty Credit Application

All Affinity Loyalty Credit Redemptions Expire 120 Days after original product purchase.

To receive your loyalty credit, complete this form as well as attaching the following items:

Complete sales receipt for product purchased, copies accepted.
Submit this online form for each product purchased
Dates are valid on purchases from 01/01/2021 - 12/31/2021 and it must be submitted by 120 Days after purchase.
Loyalty credit will be applied to Original purchasers' Account after 12 (Twelve) months of continuous service. Original purchasers’ Account must be active and in good standing at time of loyalty credit being applied to Original purchasers' Account. Any incomplete or incorrect submissions will not be honored.

Loyalty credit may not be used in conjunction with any other offers.

NOTE: Fields marked with asterisk(*) are required

Select your promotion*

Price Paid*

Name on the Account*

First NameLast Name

Customer ID*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home/Office #*

Email

example@example.com

Order ID*

Date of Purchase*

Date

Attach Sales Receipt*

Browse Files

Signature (type your name)*

In signing and submitting the form, you acknowledge and agree to the following terms and conditions: Request for loyalty credit must be postmarked within 120 days of phone purchase to qualify. This offer is only available to consumer purchasers of Pantech Marauder from approved vendor. Loyalty credit will be applied to future bills, is non-refundable and non-transferable. Only the actual purchaser of the qualified product may participate in this program. Incomplete, illegible, missing of undated submissions will not be processed, honored, acknowledged or returned. We are not responsible for lost, delayed or misdirected claims. Customers are advised to retain a copy of their submission and receipt for their records. This offer is only available to end users in the United States. Availability and terms of offer may change without notice. Fraudulent submission may result in prosecution in accordance with the law.

Please verify that you are human*