Michelin Promotion Rebate Form - 2007

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OCTOBER 2007 MICHELIN PROMOTION REBATE FORM
MAIL-IN
RECEIVE A
REBATE
40
$
with the purchase of a set of
four Michelin tires bought at
Discount Tire Direct.
Offer valid 10/01/07 to 10/27/07.
Mail-in rebate offer.
DTD Michelin Counter Offer #21181
Survey
Receive a $40 mail-in rebate with the purchase of a set of four
(required)
Michelin tires bought at Discount Tire Direct from
We greatly appreciate you taking the time to answer these questions. This
October 1st through October 27th, 2007.
information will help us shape future promotions and the way we provide tire
service to you.
You may submit your rebate by faxing to 480-668-9402 or mailing ALL of the
following REQUIRED items:
1. Did you purchase because of the promotional offer?
1. This redemption form completely filled out, including the survey
■ ■
■ ■
Yes
No
2. Your ORIGINAL or ISSUED REPRINT dated sales receipt from
the qualifying purchase
2. Are you a first-time customer with us?
■ ■
■ ■
Yes
No
Mail all of these items to:
DTC Offer #21181
3. Please check all the items our promotional offer prompted you to do:
■ ■
■ ■
P.O. Box 1430
Yes
No
Upgrade your purchase to a better quality tire
Mesa, AZ 85211-1430
■ ■
■ ■
Yes
No
Buy a set of four tires rather than one or two
■ ■
■ ■
Yes
No
Buy a set of tires somewhat sooner
THIS FORM MUST BE POST MARKED NO LATER THAN 11/30/07
4. How did you first hear about this Promotion?
(Please check one)
Purchase must be made at Discount Tire Direct
■ ■
Allow 4–5 weeks for delivery
Newspaper: Ad___ Post-It___
■ ■
Valid in USA ONLY
Called sales associate
■ ■
Referred by friends or family
Not valid with any other offer
■ ■
Magazines
■ ■
Internet
Banner Ad___ Search Engine___ discounttiredirect.com___
■ ■
Mail:
Name:
Postcard___ Valpak___ ShopWise___ Other___
Address:
WE SUGGEST YOU MAKE A COPY OF ALL MATERIALS SUBMITTED
FOR YOUR RECORDS.
To redeem your rebate, please do ONE of the following:
City:
480-668-9402
Fax the required items to:
.
Mail the required items to: DTD Offer #21181
P.O. Box 1430
State:
ZIP:
Mesa, AZ 85211-1430
For questions about your rebate call toll-free at (866) 892-8078. After submitting
required materials, please allow 3 weeks before checking the status of your redemption.
Phone Number:
Void where taxed, prohibited, or restricted by law. Discount Tire Direct is not responsible for late or
misdirected mail. Fraudulent submission of multiple requests could result in Federal prosecution under
the U.S. Mail fraud Statutes (18 USC. Section 1341 and 1342)
E-mail Address:

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