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BFGTAKO50VisaRebateFormDTD

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					                  THIS FORM IS FOR DISCOUNT TIRE DIRECT CUSTOMERS ONLY




               50
                BFG ALL-TERRAIN T/A KO 11/05 - 12/09 2012 PROMOTION REBATE FORM



$                                                                                                                                                                                    All-TerrAin T/A KO
                                                                                                                                                                            vISA                     ®


                                                                                                                                                                            PREPAId CARd
                                                                                                                                                                          WHEN YOU PURCHASE A SEt Of 4
                                                                                                                                                                          BfG ALL-tERRAIN t/A KO tIRES!
                                                                                                                                                                                                                            11/05/12 - 12/09/12
                                                                                                                                                                                                                 ONLINE OR MAIL-IN REBATE.
                                                                                                                                                                                                    CANNOT BE COMBINEd wITh OThER OffERs.
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.

            DTD BFG All-Terrain T/A KO Offer #26102
    Receive a $50 Visa® Prepaid Card when you purchase a set of
                                                                                                                                                                                         Survey
                                                                                                                                                                                              (required)
 four (4) BFGoodrich All-Terrain T/A KO tires from Discount Tire Direct
           from November 5th through December 9th, 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
www.dtc.rebatepromotions.com
using the appropriate offer number.                                                                                                        1. Did you purchase because of the promotional offer?
                                                                                                                                                 Yes       No
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:                                                                                            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 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:
      DTD BFG All-Terrain T/A KO Offer #26102                                                                                                    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

THIS FORM MUST BE POSTMARKED NO LATER THAN 01/09/13                                                                                        4. How did you first hear about this Promotion?
• Purchase must be made at Discount Tire Direct                                                                                               (Please check one)
• Allow 3–4 weeks for delivery                                                                                                                       Newspaper: Ad___ Post-It___
• Valid in USA & Canada ONLY                                                                                                                         Called sales associate
• Not valid with any other offer                                                                                                                     Referred by friends or family
                                                                                                                                                     Magazines
• Rebates faxed or redeemed online must be submitted no later than 01/09/13
                                                                                                                                                     Internet
                                                                                                                                                     Banner Ad___ Search Engine___ discounttiredirect.com___
                                                                                                                                                     Mail:
Name:                                                                                                                                                Postcard___ Valpak___ RedPlum___ Other___



Address:
                                                                                                                                        To view your rebate status, please visit:
                                                                                                                                        www.dtc.rebatepromotions.com
City:                                                                                                                                   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.
State:                                                                        ZIP:
                                                                                                                                        WE SUGGEST YOU MAKE A COPY OF ALL MATERIALS SUBMITTED
                                                                                                                                        FOR YOUR RECORDS.

Phone Number:
                                                                                                                                        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 Fraud Statutes (18 USC. Section 1341 and 1342)
E-mail Address:



PC 87215

				
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