Manufacturer's Rebate Form - Shared Spirits Marketing

Follow these simple instructions to receive your manufacturers rebate.

Buy, Share, Redeem, and Rebate Responsibly
Step One: Please add a payment method to your Shared Spirits account for receipt of your rebate. All rebates are distributed digitally.

Step Two: Please complete the form below in its entirety.
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
Cell Number Associated with the Download of the Shared Spirits App *

Area Code Phone Number
First Preference *
What Drink do You Enjoy Most?
Second Preference *
What Drink do You Most When You’re Not Ordering Your First Choice?
Third Preference *
What Drink do You Enjoy Most When You’re Not Ordering Your First or Second Choice?
Take a photo of your UPC Code on the Bottle Label and Upload it Here
Take a Photo of Your Retailer Receipt and Upload it Here
Take a Photo of the Receipt Verifying the Purchase the Product. Note, it must be clear.
Take a Photo of the UPC Code on the Bottle Qualified for the Rebate. Note, it must be clear.
Do You Consider Yourself an Expert in Any of the Drink Categories? *

Yes I’m in the Industry No
Please Sign Attesting to Your Age and Verifying Your Purchase. Important note! No Rebates will be Made to Those Who Have Not Upload the Receipt and UPC Code Applicable to Their Qualifying Purchase *
Should be Empty:

Manufacturer’s Rebate Form