
Home \| New To Raybestos Rewards? \| Already Enrolled? - Sign In Here \| Contact Us

Program Headquarters
admin@raybestosrewards.com

Toll-Free Phone:
(877) 353-6686

Direct:
(612) 564-4010

Sign Up For Rewards Program

Offer available to professional repair facility shop owners in the U.S. buying Raybestos brand brake and/or chassis products. Technicians may be enrolled by shop owner. One Raybestos Rewards kit available per location.

After you have enrolled, your enrollment will be reviewed for approval by a Raybestos sales representative. Approved members will receive a confirmation e-mail within two weeks of submission.

Program subject to change.

First Name:

Last Name:

Business Name:

Address:

We cannot ship to a P.O. Box

City:

State:

Zip Code:

Email Address:

Enrolled participants will be sent their initial program information to the email address provided.

	I prefer to receive Tech Service bulletins, future program information, product information or special promotions via email.
	I prefer NOT to receive Tech Service bulletins, future program information, product information or special promotions via email.

Phone Number:

*no toll-free numbers please

Which Raybestos product(s) do
you currently purchase?

Brakes Chassis Both

Choose the following group
with which you are affilated.

If 'Other' enter group name

How many bays are in your shop?

How many brake jobs does your
shop perform per week?

Where do you buy the majority
of you parts from?

Name of Parts Store:

Would you like to receive
Raybestos Spring & Fall
Promotional materials?

Yes No

Rate the importance of the features listed below when purchasing parts.

Most Important			Less Important
5	4	3	2	1

Price:

Performance:

Coverage:

OE (matched/equal):

Brand Name:

Technical Support:

Hardware Included:

Programs/Promotions:

Add Additional Employees:

Yes No