BOFA MB Information Request Form – TEST

Bank of America Preferred Rewards
Mercedes Benz Information Request

Corporate Account Number (CAN): 027690
2000 Westchester Avenue
Purchase, NY 10577

To redeem the Mercedes Benz offer for Bank of America Preferred Rewards Diamond and Diamond Honors Tier members:

Complete the form fields below, ensure both boxes are checked off and submit the form (please note that this form must be submitted via this website; your local dealer will not be able to process a printed version of this Enrollment Form). You will receive an email from Mercedes-Benz within two business days (to the email address you provide when filling out the requested information, please be sure to check your spam folder) with a form attached which you must print out and present to the dealership at the time of the purchase or lease.

Please contact the toll-free hotline at 1-866-628-7232 or visit the program's website at for additional program information. Note: All supporting documentation is subject to third party verification.

  • Client Information

Please hit SUBMIT only once; it may take a few seconds to process.

Only One (1) control number per individual per calendar year, and the control number is valid until one year from issue date.

Bank of America shall not be responsible for, and does not represent, products or product providers. The manufacturer’s warranty applies to all applicable merchandise offered. The actual merchandise available through the program may vary from pictures and descriptions that have been made available to you. All merchandise is subject to availability.