100 DTC/ATC 05/25-05/26 2012 MEMORIAL DAY PROMOTION REBATE FORM visa® prepaid card $ UP TO when you buy any set of 4 tires OR WHEELS installed OFFER VALID 05/25/12 to 05/26/12. ONLINE OR MAIL-IN REBATE. CANNOT BE COMBINED WITH OTHER OFFERS. SEE SALES ASSOCIATE FOR DETAILS. Rebate paid via a Discount Tire/America’s Tire Visa Prepaid Card. Rebates being sent to Canada may be sent via a check. The card is issued by MetaBank™ pursuant to a license from Visa U.S.A. Inc. Cards are issued in connection with a loyalty, award or promotion program. Card issued in the name submitted on rebate form and is not transferable; card cannot be issued to minors. Card does not have cash access and can be used at any merchants that accept Visa debit cards. Card valid for 4 months in addition to any remaining days in the month of issuance, unused funds forfeit at midnight EST the last day of the month of the valid thru date, subject to applicable law. Country restrictions apply and are subject to change. Card terms, conditions, and limitations apply. DTC/ATC $50/$100 Offer #21670 Receive a $50 Visa® Prepaid Card when you purchase two (2) tires or wheels or receive a $100 Prepaid Card when you purchase a set of four (4) tires or wheels at Discount Tire or America’s Tire from May 25th through May 26th, 2012. Survey (required) We greatly appreciate you taking the time to answer these questions. This information will help us shape future promotions and the way we provide tire service to you. You may submit your rebate online at www.dtc.rebatepromotions.com using the appropriate offer number. Or you may mail ALL of the following REQUIRED items: 1. This redemption form completely filled out (PLEASE PRINT) 2. Your ORIGINAL or STORE ISSUED REPRINT dated sales receipt from the qualifying purchase Mail all of these items to: DTC/ATC $50/$100 Offer #21670 P.O. Box 1430 Mesa, AZ 85211-1430 1. Did you come in today because of the promotional offer? Yes No 2. Was this your first visit to any of our stores? Yes No 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 Yes No Buy a set of tires somewhat sooner THIS FORM MUST BE POST MARKED NO LATER THAN 06/26/12 • • • • • Purchase must be made at Discount Tire / America’s Tire Allow 3–4 weeks for delivery Valid in USA & Canada ONLY Not valid with any other offer Rebates redeemed online must be submitted no later than 06/26/12 4. How did you first hear about this Promotion? (Please check one) Name: Address: City: State:ZIP: TV Radio Newspaper: Ad___ Post-It___ Internet: Banner Ad___ Search Engine___ discounttire.com___ Mail: Postcard___ Valpak___ RedPlum___ Other___ While shopping today in this tire store Referred by friends or family Magazines Billboard Email americastire.com___ Driving by store Called store To view your rebate status, please visit: www.dtc.rebatepromotions.com 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: WE SUGGEST YOU MAKE A COPY OF ALL MATERIALS SUBMITTED FOR YOUR RECORDS. E-mail Address: Void where taxed, prohibited, or restricted by law. Renault-Thomas Corpoation DBA Discount Tire/America’s Tire 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) PC 87288
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