2019 FIRestone FALL promotion - 4cd9c125-cfef-4476-ac4e ...
[Pages:1]2019 FIRestone FALL promotion
OFFICIAL CLAIM FORM ? PURCHASE BETWEEN: SEPTEMBER 27 - OCTOBER 31, 2019
Receive your prepaid card faster online at .
HELP AMERICA'S KIDS, ROUND UP TODAY! YOUR DONATION TODAY WILL HELP MAKE A DIFFERENCE TOMORROW.
? ALL SUBMISSIONS MUST BE FILED ONLINE AT OR RECEIVED NO LATER THAN NOVEMBER 10, 2019. ? ORIGINAL, FULLY COMPLETED, FINAL PAID & STORE-IDENTIFIED INVOICE MUST BE SUBMITTED WITH THIS CLAIM FORM (DO NOT STAPLE).
Title (Mr., Mrs., Ms.) First Name (PLEASE PRINT CLEARLY) Last Name
REWARD:
MAIL TO: FIRESTONE REWARDS PO BOX 37605 BOONE, IA 50037-0605
Mailing Address
City
State
Email Address (REQUIRED FOR COMMUNICATION)
(
)
Mobile Phone
Zip Code
$60 Firestone Visa? Prepaid Card. Offer Code:
FSFALLBSRO2019
FS
$100 Firestone Visa Prepaid Card
(I purchased my qualifying Firestone Tires with my new or existing CFNA account.) For
verification purposes, please provide your 9-digit CFNA Credit Card account number (required):
Receipt/Invoice Date:
/
/2019
Month Day
I had my new set of 4 eligible Firestone tires mounted on the following vehicle:
Year
Make
Model
YES! I would like to receive future Firestone marketing updates and promotions via (CHARGES FROM YOUR MOBILE CARRIER MAY APPLY)
email and/or text
ELIGIBLE TIRES: (Please indicate set of 4 tires purchased. Run flat versions of all eligible tires accepted.)
ChampionTM with Fuel FighterTM DestinationTM A/T DestinationTM A/T2 DestinationTM M/T2
DestinationTM LE2 DestinationTM XT FirehawkTM Indy 500 FirehawkTM A/S
WeatherGripTM WinterforceTM WinterforceTM 2 WinterforceTM 2UV
WinterforceTM UV WinterforceTM LT
OFFER EXCLUDES GM PURCHASES. Reward will be fulfilled with a Firestone Visa Prepaid Card by mail. Limit 1 reward per each set of 4 tires purchased, limit 2 rewards per household,
customer or address. Visa prepaid card may be used everywhere Visa debit cards are accepted. Certain limitations apply. See Cardholder Agreement. Not redeemable for cash. Please allow
10?12 weeks for the receipt of the prepaid card. Visit or call (800) 903-9838 to check the status of your claim after 4 weeks.
PLEASE CHECK THE BOXES THAT APPLY TO YOU:
Which brand of tires are you replacing (check all that apply):
This is my first time purchasing Firestone products.
BFGoodrich
Bridgestone
Continental
Cooper
This is my first time participating in a Firestone promotion.
Firestone
Goodyear
Hankook
Kumho
I have heard of the Firestone 90-Day Buy&Try guarantee that allows you to refund or replace your tires if you are not 100% satisfied?
Yes
No
Not Sure
If you said yes to the above question, did it influence your purchase of Firestone tires?
Michelin Yokohama PURCHASE LOCATION:
Nitto Other
Store Name
Pirelli
Toyo
Yes
No
What is your age?
18-24
25-39
40-59
60+
Store Address City
State
Zip Code
FIRESTONE FALL PROMOTIONAL TERMS AND CONDITIONS
Invoice and claim form must be submitted for each eligible purchase.
1. Retail purchasers only. Offer excludes commercial, fleet and group purchases, employee changeovers, and warranty replacement purchases. Valid in the U.S. only. Void in PR and where prohibited. Must be 18 or over. No special orders or rain checks. Claim form required. Cannot be combined with any other offer.
2. Customer information collected herein is solely used by Bridgestone Americas Tire Operations, LLC ("Bridgestone") for internal marketing purposes and for the administration of Offer, and to contact the consumer if we have express consent. Bridgestone and its agencies are not responsible for (a) late, lost, altered, forged, illegible/garbled, inaccessible, corrupted, defective, postage due or misdirected submissions regardless of cause, or (b) technological problems/malfunctions/failures of any kind. All decisions of Bridgestone are final.
3. Firestone Visa Prepaid Card issued by The Bancorp Bank pursuant to a license from Visa U.S.A. Inc. The Bancorp Bank; Member FDIC. The Prepaid Card is given to you as a reward or gift and no consideration, value or money has been paid by you for the card. No cash access or recurring payments. Card valid for up to six months, unused funds forfeit at midnight EST the last day of the month of the valid thru date. Card terms and conditions apply; see CardTerms. All trademarks and brand names belong to their respective owners. Use of these trademarks and brand names do not represent endorsement by or association with this card program. All rights reserved.
4. To receive the $100 Firestone Visa Prepaid Card by mail you must purchase a set of 4 eligible Firestone tires with your new or existing CFNA credit card account. The full 9-digit account number must be provided at time of submission. CFNA accounts subject to credit approval. The Firestone Visa Prepaid Card cannot be used to pay any credit card balance. The Bancorp Bank is not affiliated in any way with this credit card offer and does not endorse or sponsor this credit card offer. Participating retailers only.
5B45G4-009-BSRO-CFNA
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