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Rebate Amount Qualifying Product(s) Postmarked Visa ® Prepaid Card Offer To receive your General Tire Visa Prepaid Card by mail follow these 3 conditions of acceptance: 1) Purchase any four (4) General Tire brand tires during the Promotion dates listed in the top left corner. 2) Complete all information requested on this form accurately and legibly. Limit (1) one rebate per person, except where prohibited by law and limit 2 cards per household. 3) Mail the Original dated paid receipt with purchase circled and this completed offer form to the address below (Invoice must show purchase of four (4) General Tire brand tires paid or be accompanied by a credit card receipt). General Tire Promotion Offer # H329515 PO Box 100451 White Bear Lake, MN 55110-0451 You may contact 1-866-924-4686, weekdays, 8am to 7pm (CST) or visit www.rebate-zone.com/generaltire if you have questions about yourn submission, or to review the status of your submission at any time. GIFT WITH PURCHASE OFFER: Valid in the Continental U.S. and D.C. only from 03/15/2013 through 04/10/2013 or while supplies last. Valid with the original, dated, paid receipt for the purchase of 4 GENERAL PASSENGER or LIGHT TRUCK tires in a single purchase transaction. Requests from groups, organizations, fleets, wholesalers, commercial accounts and purchases for resale are not eligible and will not be honored or acknowledged. Passenger and light truck products only. Limit one $50.00 Visa Prepaid Card per person, two per household. Cards are issued by Citibank, N.A. pursuant to a license from Visa U.S.A. Inc. and managed by Citi Prepaid Services.Cards will not have cash access and can be used everywhere Visa debit cards are accepted. Requests from P.O. boxes or those with an invalid or undeliverable mailing address will be denied. Not responsible for lost, stolen, misdirected, illegible, mutilated, or postage due mail. Void where restricted or prohibited by law. Any taxes, fees or costs are sole responsibility of recipient. Disputes will require copies of all submitted material for verification. Sponsor reserves the right to confirm the identity of any offer recipient and settle all disputes. WARNING: tampering with, altering, or falsifying purchase information constitutes fraud and could result in state and federal prosecution. Allow 8-12 weeks for fulfillment.If you have not received your Card after 12 weeks, you may visit www.rebate-zone.com/general or call 1-866-924-4686. (T08) $50 Visa Prepaid Card By 05/10/2013 Name Address City State Email Zip Daytime Phone Check here if you would like to receive emails regarding upcoming promotions. Gender: Female Male Age: 18-24 yrs 25-35 yrs 36-45 yrs 46-55 yrs 56+ yrs How did you hear about this promotion? Magazine Store Display Website Word of Mouth Other Have you purchased General Tires in the past? Yes No Any Four (4) General Tire Brand Tires Mail to: Included the Original Invoice & Paid Receipt: Purchased a Minimum of 4 General Tires: Name of General Tires Purchased: Size of General Tires Purchased: Date of Purchase: CHECKLIST MUST BE COMPLETED IN ORDER TO PROCESS REDEMPTION: 03/15/2013 - 04/10/2013 Yes Yes ________________________ (example: General - Altimax RT) ________________________ (example:185/70R14SL) ________________________ (March 15, 2013 - April 10, 2013) (!) IMPORTANT: Photocopy your entire submission for your records. You could be required to mail these photocopies.
