Signia Hearing Aids

Rebate Submission Form

Thank you for your recent purchase of Signia Hearing Aids!

If you purchased any pair of Signia 7 or 5 performance level BTE (Behind-the-Ear) or ITE (In-the-Ear) style hearing aids including Cellion™, Silk™, Pure® , Motion® , Ace™, or Insio™, or Carat™ between 1/25/17 and 4/30/17 you are eligible for a $100 rebate from Signia hearing aids.

Complete the Rebate Submission Form below. Provide the serial numbers for each hearing aid along with the name and address of your hearing care provider.

Don’t forget to upload a copy of the invoice or purchase agreement.

Rebate Submission Form

Fields marked with an * are required

Your Information

Your Hearing Care Provider Information

Your Hearing Aids Information

Please refer to your User Manual or contact your Hearing Care Provider for assistance.

Please refer to your User Manual or contact your Hearing Care Provider for assistance.