Michelin Rebate Form

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THIS FORM IS FOR DISCOUNT TIRE DIRECT CUSTOMERS ONLY
MICHELIN OFFER #26572
DISCOUNT TIRE FINANCE OFFER #26573
70
$
DISCOUNT TIRE
®
VISA
®
Offers valid 9/17/17 - 9/30/17
PREPAID
CARD
At Discount Tire Direct. Online or mail-in rebate.
30 on any qualifying set of 4 Michelin
Receive
$
Receive a
70 Visa prepaid card by mail with
tires when purchased with your DISCOUNT TIRE
$
the purchase of 4 Michelin tires!
credit card!
Excludes winter tires.
*
Cannot be combined with other DISCOUNT TIRE offers.
Cannot be combined with other DISCOUNT TIRE credit card offers.
To redeem your rebate online, visit using offer code #26572.
If you purchased your tires with your DISCOUNT TIRE credit card, qualifying you for an
30, you must submit a second rebate online using offer code #26573.
additional
$
Or you may submit your rebate by faxing to 480-668-9402 (Discount Tire Direct customers only) or mailing ALL of the following REQUIRED items:
1. This rebate form completely filled out (PLEASE PRINT)
2. A printed copy of your e-mailed invoice for the qualifying purchase
This rebate must be submitted online by 10/30/17 or
Mail all of these items to:
form must be post marked no later than 10/30/17
Michelin Offer #26572
P.O. Box 6129
• Purchase must be made at DISCOUNT TIRE DIRECT
• Allow up to 4 weeks for delivery
Mesa, AZ 85216
• Valid in USA & Canada ONLY
Survey
Name:
We greatly appreciate you taking the time to answer these questions. This
Address:
information will help us shape future promotions and the way we provide tire
service to you.
1. Did you purchase because of the promotional offer?
City:
Yes
No
2. Was this your first visit to any of our stores?
Yes
No
State:
ZIP:
3. Please check all the items our promotional offer prompted you to do:
Yes
No
Upgrade your purchase to a better quality tire
Yes
No
Buy a set of four tires rather than one or two
Phone Number:
Yes
No
Buy a set of tires somewhat sooner
4. How did you hear about this Promotion?
E-mail Address:
(Please check all that apply)
Magazine
Email
To view your rebate status, please visit:
Newspaper
Internet
DTD Website
Enthusiast Forum/Blog
While talking to sales agent
For questions about your rebate call toll-free at 1-866-892-8078.
While chatting with live person (Agent Chat)
After submitting required materials, please allow 3 weeks before checking the status of your redemption.
WE SUGGEST YOU MAKE A COPY OF ALL MATERIALS SUBMITTED FOR YOUR RECORDS.
Void where taxed, prohibited, or restricted by law. Reinalt-Thomas Corporation DBA DISCOUNT TIRE is not
Purchases made with your DISCOUNT TIRE Synchrony Car Care credit card are subject to credit approval. Visa
responsible for late or misdirected mail. Fraudulent submission of multiple requests could result in Federal
prepaid cards are not an acceptable form of payment on Synchrony Car Care accounts with Synchrony Bank.
prosecution under the U.S. Mail Fraud Statutes (18 USC. Section 1341 and 1342)
*Rebate in the form of a DISCOUNT TIRE VISA PREPAID CARD. Card is issued by MetaBank
, Member FDIC, pursuant to a license from Visa U.S.A. Inc. No cash access or recurring payments. Can be
®
used everywhere Visa debit cards are accepted. Card valid for up to 6 months; unused funds will be forfeited at midnight EST the last day of the month of the valid thru date. Card terms and condi-
tions apply, see MetaBank or Visa does not sponsor or endorse the optional Synchrony Car Care Credit Card.
PC 87221

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