Partner Reward Redemption Form

After taking delivery of your new Ford vehicle, please complete and submit this Partner Reward Redemption Form, and attach a copy of your driver's licence, payslip, dealer invoice and if the vehicle is purchased under your spouse name, proof of relationship.

Please note Dealer Demonstrator and used vehicles are not eligible.

Please refer to the 'How to Save' and 'FAQ's' for further information.

(*Signifies mandatory field)

Customer Name

Partner Reward Redemption Form

Please note Dealer Demonstrator and used vehicles are not eligible.

Please refer to the 'How to Save' and 'FAQ's' for further information.

(*Signifies mandatory field)

Customer Name

Last Name*

First Name*

Private Address

Address 1*

Address 2

Suburb*

Postcode*

Other

Phone*

Email Address*

Partner Code*

Company Name

Company Name*

Employee Number

Partner/Spouse's Name (If applicable)

First Name

Last Name

Vehicle Information

VIN*

Model*

Registration*

Dealer*

Delivery Date*

Documentation

Check this box if you will email the following documents, leave unchecked if you will send the documents by post:

Drivers Licence
Current pay slip or proof of current employment
Dealer Invoice (Name of the invoice needs to match the name on the Partner Reward Redemption form)
Proof of relationship

Please note that the Partner Reward payment will not be processed until all documents have been received and verified. For any queries you may be contacted by a Ford Representative by phone or email. You will receive the Partner Reward payment in the form of a pre-paid MasterCard. For full information please go to the FAQs or Terms and Conditions.

Confirmation

Drivers Licence
Current pay slip or proof of current employment
Dealer Invoice (Name of the invoice needs to match the name on the Partner Reward Redemption form)
Proof of relationship

Confirmation

*I have read, understood and accepted the Terms & Conditions of the Ford Partner Program.

Click here for full terms and conditions.

Please enter the characters you see in the image

Fields marked "*" are required.