OFFICIAL CLAIM FORM $10 Mail-in Rebate with the purchase of a Set of 4 Tires Please print legibly and complete all information. Name Address (No P.O. Box Numbers will be accepted) (APO & FPO Box Numbers will be accepted)

City

State

Zip

Date Purchased Tires Model/Size/Product# Signature

Today’s Date

Check here and provide your email if you would like to receive information about special promotions and new products from TireTropolis. Email Mail your completed form to: TireTropolis $10 Set of 4 Tires Promo 1543 SE 31 Court Homestead, FL 33035 How to claim your $10 mail-in rebate: 1. To receive your $10 rebate by mail, purchase a set of 4 tires between January 1, 2009 through May 31, 2009. 2. Return this completed form including copy of UPS delivery receipt, along with a copy of your sales receipt(s) with the purchase price circled or your claim cannot be processed. 3. Only handwritten responses will be accepted. No stickers or reprinted address labels. Product must be new and unused. 4. Offer valid for purchase made from January 1, 2009 through May 31, 2009. All claims must be postmarked by July 31, 2009. 5. This offer is only available to the end user and original purchaser. No claims from resellers, dealers/distributors, their employees or warehouse facilities, groups, clubs or organizations will be accepted or acknowledged. No P.O. Boxes except military APO/FPO (Air/Army Post Office or Fleet Post Office) addresses. 6. Limit 1 rebate per person, address or household; may not be combined with any other offer or rebate. It is illegal to submit more than 2 requests for the same individual or family. Fraudulent submissions of multiple requests could result in Federal prosecution under the U.S. Mail Fraud Statutes (18 USC, Sections 1341 and 1342). 7. Offer void where taxed, prohibited or restricted by law. Offer good only a) on purchases in the fifty states of the United States and D.C. and b) to current U.S. residents only. Exception for U.S. military personnel oversees. 8. TireTropolis is not responsible for late, lost or misdirected mail. 9. Claim forms postmarked after July 31, 2009 will not be honored. 10. TireTropolis $10 rebate check is ordinarily delivered within 6 – 8 weeks. Rebate check is void if not cashed within 30 days of issuance and cannot be reissued. 11. TireTropolis reserves the right to audit any claims and to nullify any claims that cannot be substantiated. TireTropolis reserves the right to amend the rules of the program or cancel this promotion without prior notice.

Questions? Email us at [email protected] or call 305-712-3305. M – F, 9:00 a. m. – 5:00 p.m. EST

OFFICIAL CLAIM FORM $10 Mail-in Rebate with the ...

How to claim your $10 mail-in rebate: 1. To receive your $10 rebate by mail, purchase a set of 4 tires between January 1, 2009 through May 31, 2009. 2. Return this completed form including copy of UPS delivery receipt, along with a copy of your sales receipt(s) with the purchase price circled or your claim cannot be ...

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