Rebate Application

If there is more than one location seeking a rebate, designate the location, e.g, Starbucks - Broadway.
CAGBN CAN REBATE ONLY UP TO $500 PER BUSINESS ($1,000 for eligible businesses)
Click or drag a file to this area to upload.
Blank forms are available at https://www.irs.gov/pub/irs-pdf/fw9.pdf
Click or drag files to this area to upload. You can upload up to 10 files.
Upload all your receipts here. Use smaller file sizes for faster upload speeds.
Your signature serves to verify that all the information contained in this form is accurate and in accordance with the rules of the CAGBN Rebate Program as outlined above.