Prepaid Rebate Card By Mail When You
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1
2OFFICIAL MAIL-IN REBATE FORM
GET UP TO A $75 VISA® PREPAID REBATE CARD BY MAIL WHEN
YOU PURCHASE ANY FOUR (4) QUALIFYING NEW COOPER TIRES.
Receive up to a $75 VISA® prepaid rebate card by mail when
$75:
Cooper Zeon RS3S Tires
$50:
Cooper CS4 Touring/Tires
you purchase four (4) qualifying new Cooper Tires for
Cooper Zeon RS3A Tires
$40:
Cooper Lifeliner GLS Tires
Cooper Discoverer H/T Tires
household use in a single transaction between August 25,
Cooper Response Tires**
Cooper Discoverer STT Tires
2011 and November 7, 2011. Rebate amount depends on
Cooper Discoverer A/T3 Tires
qualifying tires purchased and availability of eligible new
** Available at select retailers
Cooper Discoverer CTS Tires
tires at time of purchase. Qualifying tires are:
Cooper Discoverer LSX Tires**
Cooper Discoverer LSX Plus Tires**
Cooper Discoverer HTP Tires**
Cooper Discoverer ATP Tires**
How to get your Cooper Tire rebate:
Please print clearly in large capital letters. This is the name that will appear on your VISA® prepaid rebate card (or check if purchased in Canada).
2. Include the sales receipt, which must show the purchase date, qualifying Cooper Tire, purchase price and tire size. Circle the tire purchased, which
must be one of the Cooper Tires listed above. Substitutions are not eligible. Please do not use staples when sending your information. Keep copies
of all documents for your records.
3. Please mail to:
Cooper Tire “Take The Money & Ride National Event” Rebate
P O Box 7025
Parkersburg, WV 26102-7025
REBATE REQUESTS MUST BE POSTMARKED NO LATER THAN DECEMBER 8, 2011 AND RECEIVED AT THE REBATE FULFILLMENT CENTER NO LATER
THAN DECEMBER 23, 2011. LATE SUBMISSIONS WILL NOT BE ACCEPTED.
Please see full Terms and Conditions at the end of this form. Please print clearly in capital letters. This is the
name that will appear on your VISA® prepaid rebate card (or check if purchased in Canada).
Please print clearly:
__________
Address: ____________________________________________________________
City: ________________________________________________________________
State/Prov.: __________________________ ZIP/Postal Code: _________________
E-mail address*: ______________________________________________________
Phone Number: _____________________________________________________ _ _
(Required to be eligible for VISA rebate card)
Tire Dealer Name: _____________________________________________________
* If you would like to receive any email updates regarding the status of your rebate, please include your email address above.
For assistance please contact your Cooper Tire & Rubber Company representative via email at
or call 1-800-426-2637 or visit
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