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                                    CC1 11/25 - 12/08 2012 PROMOTION REBATE FORM

            $                                                                                                                                                               vISA                     ®

                                                                                                                                                                            PREPAID CARD
                                                                                                                                                                            WHEN YOU PURCHASE A SEt
                                                                                                                                                                            Of 4 BfG ALL-tERRAIN t/A KO
                                                                                                                                                                            tIRES WItH YOUR DISCOUNt/
                                                                                                                                                                            AMERICA’S tIRE CREDIt CARD!
                                                                                                                                                                                                                            11/25/12 - 12/08/12
                                                                                                                                                                                      ONLINE OR MAIL-IN REBATE. SUBJECT TO CREDIT APPROVAL.
                                                                                                                                                                                                           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 CarCareONE Offer #26103                                                                                                                                        Survey
     Receive a $30 Visa® Prepaid Card when you purchase any set of four (4)                                                                                                                    (required)
       BFGoodrich All-Terrain T/A KO tires with your Discount/America’s Tire
    CarCareONE credit card from November 25th through December 8th, 2012.                                                                  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                                                                                                               1. Did you come in today because of the promotional offer?
using the appropriate offer number.                                                                                                              Yes         No

Or you may mail ALL of the following REQUIRED items:
                                                                                                                                           2. Was this your first visit to any of our stores?
1. This redemption form completely filled out (PLEASE PRINT)
                                                                                                                                                Yes           No
2. Your ORIGINAL or STORE ISSUED REPRINT dated sales receipt from
   the qualifying purchase
      Mail all of these items to:                                                                                                          3. Please check all the items our promotional offer prompted you to do:
      DTC CC1 Offer #26103                                                                                                                       Yes          No        Upgrade your purchase to a better quality tire
      P.O. Box 6129                                                                                                                              Yes          No        Buy a set of four tires rather than one or two
      Mesa, AZ 85216                                                                                                                             Yes          No        Buy a set of tires somewhat sooner
•     Purchase must be made at Discount Tire / America’s Tire                                                                              4. How did you first hear about this Promotion?
•     Allow 3–4 weeks for delivery                                                                                                            (Please check one)
•     Valid in USA & Canada ONLY                                                                                                                     TV                                                                        Magazines
•     Rebates redeemed online must be submitted no later than 01/08/13                                                                               Radio                                                                     Billboard
                                                                                                                                                     Newspaper: Ad___       Post-It___                                         Email
                                                                                                                                                     Banner Ad___ Search Engine___ discounttire.com___                        americastire.com___
Name:                                                                                                                                                Mail:
                                                                                                                                                     Postcard___ Valpak___ RedPlum___ Other___
                                                                                                                                                     While shopping today in this tire store                                   Driving by store
Address:                                                                                                                                             Referred by friends or family                                             Called store

                                                                                                                                        To view your rebate status, please visit:
                                                                                                                                        For questions about your rebate call toll-free at 1-866-892-8078.
State:                                                                        ZIP:                                                      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
Phone Number:                                                                                                                           FOR YOUR RECORDS.

                                                                                                                                        Void where taxed, prohibited, or restricted by law. 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
E-mail Address:                                                                                                                         Fraud Statutes (18 USC. Section 1341 and 1342)

PC 87255

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