Dometic XPA Rebate Form

This form allows you to enter installation rebate claim for Dometic XPA products only.

Claim forms must be submitted within 60 days of installation.

This rebate offer is valid for installations made between October 1, 2023 and May 31, 2024.

For any questions regarding this program, outstanding claims, or for feedback regarding this form, please email samantha.hitchings@dometic.com

Dealer Name *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Distributor Purchased Through *

Install Date *

Year *

Make *

Model *

Hull Identification No (HIN) *

Length *

Year *

Make *

Model *

HP *

Xtreme Power Assist Steering (XPA1012P) Serial Number *

Image of Installation (up to 3 images) *

Click or drag files to this area to upload. You can upload up to 3 files.

Brandon Small