Customer Confirmation Page

To Receive Your $300 in Gas Savings AND $300 in Groceries and your Vacation Certificate, simply complete the form below.

Submission Form

Immediately, upon successful submission of form, you will be directed to the Vacation Page from which you can immediately download your $300 Gas rebate, $300 Grocery Rebate AND your choice of Free Vacation Certificate.


1   Company Info


2   Copy and Past the Confirmation Email or Web Page  in the Box Below-- Then hit "submit".

i.e. Free Credit Repair Kit, Wal-Mart, Amazon, Insureme, Consumer Info, Egift, etc...