THIS FORM IS FOR DISCOUNT TIRE DIRECT CUSTOMERS ONLY

MICHELIN OFFER #26518 - VALID 4/2/17 - 4/15/17

70
DISCOUNT TIRE

VISA

$ PREPAID
CARD
Get a $70 Visa prepaid card by mail with the
purchase of any four Michelin tires!
ONLINE OR MAIL-IN REBATE.

You may submit your rebate online at www.dtd.rebatepromotions.com using offer number 26518.

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 STOREISSUED REPRINT dated sales receipt from the qualifying purchase
Mail all of these items to: This rebate must be submitted online by 5/15/17 or
Michelin Offer #26518 form must be post marked no later than 5/15/17
P.O. Box 6129 Purchase must be made at DISCOUNT TIRE DIRECT
Mesa, AZ 85216 Allow up to 4 weeks for delivery
Valid in USA & Canada ONLY

Name:
Survey
We greatly appreciate you taking the time to answer these questions. This
Address: information will help us shape future promotions and the way we provide tire
service to you.
1. Did you purchase because of the promotional offer?
City: Yes No

2. Was this your first visit to any of our stores?

Yes No
State: ZIP:
3. Please check all the items our promotional offer prompted you to do:
Yes No Upgrade your purchase to a better quality tire
Phone Number: Yes No Buy a set of four tires rather than one or two
Yes No Buy a set of tires somewhat sooner

4. How did you hear about this Promotion?

E-mail Address: (Please check all that apply)
Magazine Email
To view your rebate status, please visit:
Newspaper Internet
www.dtd.rebatepromotions.com DTD Website Enthusiast Forum/Blog
For questions about your rebate call toll-free at 1-866-892-8078. While talking to sales agent
After submitting required materials, please allow 3 weeks before checking the status of your redemption. While chatting with live person (Agent Chat)
WE SUGGEST YOU MAKE A COPY OF ALL MATERIALS SUBMITTED FOR YOUR RECORDS.
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 87221