Rebate Request Form Rebate Request Form Club Name * City * State * Name of Home Field * Member of VBBA since * Is your club affiliated with any league, historical society, or association in addition to the VBBA? * Yes No If so, please name the organization * Name of Club Captain * City * State * Zip * Telephone * Email * Club Website Rules year your club is based on * Vendor from which items were purchased * Please list items purchased under terms of rebate program. Please list specific bat models, base ball types, uniform styles, etc * By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. * Yes No I Accept, Submit the Rebate Request If you are human, leave this field blank.