THIS FORM IS FOR DISCOUNT TIRE DIRECT CUSTOMERS ONLY COOPER DISCOVERER HTP/ATP/MTP OFFER #26486 - VALID 1/22/17 - 1/31/17 DISCOUNT TIRE ® 70 DISCOVERER HTP, ATP OR MTP $ VISA PREPAID CARD Receive a $70 Visa prepaid card by mail with the purchase of four Cooper Discoverer HTP, ATP or MTP tires! ONLINE OR MAIL-IN REBATE. Cannot be combined with other offers. You may submit your rebate online at www.dtd.rebatepromotions.com using offer number 26486. 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.Your ORIGINAL or STORE ISSUED REPRINT dated sales receipt from the qualifying purchase Mail all of these items to: Cooper Discoverer HTP/ATP/MTP Offer #26486 P.O. Box 6129 Mesa, AZ 85216 This rebate must be submitted online by 3/2/17 or form must be post marked no later than 3/2/17 • Purchase must be made at DISCOUNT TIRE DIRECT • Allow up to 4 weeks for delivery • Valid in USA & Canada ONLY Name: Survey (required) Address: 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. City: 1. Did you purchase because of the promotional offer? Yes No State:ZIP: 2. Was this your first visit to any of our stores? Yes No Phone Number: 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 E-mail Address: 4. How did you hear about this Promotion? (Please check all that apply) To view your rebate status, please visit: www.dtd.rebatepromotions.com For questions about your rebate call toll-free at 1-866-892-8078. 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. Magazine Email Newspaper Internet DTD Website Enthusiast Forum/Blog While talking to sales agent While chatting with live person (Agent Chat) Void where taxed, prohibited, or restricted by law. Reinalt-Thomas Corporation DBA DISCOUNT 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) Rebate paid via a DISCOUNT TIRE VISA PREPAID CARD. The card is issued by CC Financial, or MetaBank®, Member FDIC, 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 everywhere Visa debit cards are accepted. Card valid for 6 months in addition to any remaining days in the month of issuance, unused funds forfeit at midnight CST 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. PC 87206
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