The Buyers Network.com

Rebate Request

Please complete the information needed below and we will submit for any rebates you have.

* indicates required

First Name *

Last Name *

Email Address *

Phone Number *

Name of New Complex/Neighborhood *

This is the name of the new apartment complex

New Unit Number (NA if it is a house) *

New apartment number (NA if it is a house)

What is your move-in Date *

What is the length of your lease *

How much is your base rent payment? *

New address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Make Sure to include your apartment number.

How would you like to receive the rebate *

Pay App ID [NA if by mail or explain "other"]

Example= $johndoe, @john-doe, email or phone number [NA if not applicable or explain "other"]