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*Vehicles must be titled to an individual. BonusDrive is not available for fleet or commercially titled purchases. See website
for complete details.
Certificate of Eligibility for BonusDrive
Congratulations! Your employer participates in Gallagher Perks and this certificate verifies your eligibility for the cash back offer from BonusDrive.
• Enter your name and employer below • Go to BonusDrive.com for full program details and to apply • Complete the online application. Select Insurance Company as your affiliation and
Gallagher Perks as the organization your are eligible through • Upload this certificate when prompted for proof of eligibility • Offers vary by manufacture and purchase date
Please Complete: Your Name: ________________________________________
Your Employer‘s Name: _______________________________