210210-Firestone Rebate form

[Pages:1]$80 Buy 4 FIRESTONE TIRE REBATE FORM

Buy four select Firestone tires between March 1, 2021 and April 30, 2021, and get a $80 rebate after form submission!*

Checklist for proper rebate submission:

1) Completed rebate form

2) Original receipt showing purchase of qualifying tires

To learn more, call 866-784-2170. Offer valid on purchases made from 3/1/2021 - 4/30/21. Form must be received by 5/25/21.

How to receive your $80 rebate: ? Purchase 4 select tires from Coker Tire or a participating dealer. ? Print this form online at: fstonerebate

and fill it out completely. ? Attach original receipt showing the purchase of new select

Firestone tires within the offer period. ? Mail completed rebate form and original receipt to:

Firestone Tire Rebate Coker Tire 1317 Chestnut St Chattanooga, TN 37402

50628 50648 506540 506550 51105 517810 526060 526065 54600 526070 54640 54650 54660 54670 54680 54690 54850 54860 54870 54880

54890 55250 55260 55270 55280 55290 55588 55589 55592 55593 55597 55661 55662 55665 556658 55666 556660 56044 56047 566040

566050 566052 566053 568741 568800 568805 568810 568815 568820 579880 579885 579890 587105 587110 597034 597036 597040 597050 597060 613095

Rebate applies to the following Sku Numbers:

613097 62460 643510 613099 62470 643520 613113 62480 662800 613117 62490 663510 613118 62500 663515 613120 62510 663520 613122 62650 676400 613125 62660 676450 613126 62670 676467 613127 62680 676469 613129 62690 682280 613131 62975 682284 613132 633500 682291 62237 633505 682300 623046 635960 682310 623048 635965 682312 623052 639750 688515 623054 639755 688960 62425 643500 688965 62450 643507 688970

700600 700610 708000 708010 708020 709061 709063 709065 71025 71228 712280 713900 713910 713920 72161 72162 72230 72570 72571 72572

72573 72577 72583 72585 72823 72825 72827 72831 728993 729600 729610 74447 74448 74449 746361 746363 746365 746395 747950 747955

755000 755200 755210 761399 761400 761401 761500 761510 77260 77262 77265 77504 775970 775980 789680 789690 789801 789802 791900 791910

791920 791922 791923 793700 793710 793750 793755 793850 793860 805800 805810 805850 805855 805856 805900 805910 805975 805976 805980 805981

805985 805986 805990 805991 805995 805996 806000 806005 806006 806010 806011 806015 806016 806020 806021 806025 806026 806030 806031

Where did you buy your tires? (Dealer Name)

Date of Purchase Mo.

Year of Vehicle

Day

Year

Make (e.g., Ford)

Model (e.g., Mustang)

How many antique/classic vehicles are in your household?

1

2

3

4

5 or more

What is your age? 18 ? 25 40 ? 55

26 ? 39 Over 55

How many years have you been a Coker Tire customer?

First time

Less than 5 years

More than 5 years

How did you first hear about this promotion? (Please check one.)

Direct mail

Radio

Newspaper

Television

Salesperson in store

Website

In-store display

Email

Word of mouth

Catalog

Outdoor advertising

Other

Email Address First Name Address City Phone

What is the next vehicle you plan to purchase tires for?

Year of Vehicle

Make (e.g., Ford)

Last Name

Apt./Suite Number

State

ZIP Code

The last four digits of the phone number are required for rebate processing.

Model (e.g., Mustang)

When do you expect to purchase tires for this vehicle? (Please check one.)

In the next 30 days

31 to 90 days from now

91 days to 1 year from now

More than 1 year from now

Which of the following was an important contributing factor in your most recent purchase of tires from Coker? (Check all that apply.)

Promotion/sale

Dealer recommendation

Friend/relative recommendation

Quality of product

Actual tires on display

Tires in stock

Online research (reviews, websites, etc.) Replacing another set of Coker tires Replacing a different brand of tires

OPT-OUT

I do not want email notifications about special offers and promotions from Coker Tire. Coker Tire has a very strict privacy policy. We do not sell or rent your personally identifiable information to third parties.

*Offer valid for residents of the United States only who purchase from a participating dealer located in the fifty (50) United States, District of Columbia ("U.S.") and U.S. Territories (Puerto Rico, Guam and U.S. Virgin Islands). Purchase must be completed between 3/1/21 - 4/30/21. Limit of one (1) redemption request per purchase of select Firestone tires. Limit of three (3) redemptions per household. Must be at least 18 years of age or older at the time of purchase to be eligible. All requests must be postmarked or received on or before 5/25/2021. Please allow eight (8) to twelve (12) weeks for delivery of the $80 rebate via mail. Sales to Original Equipment manufacturers, fleets, wholesalers, business accounts and purchases for resale are not eligible for this promotion. All decisions made by Coker Tire (or its authorized representatives) relating to the validity of any submissions are final and binding. This promotion is subject to all federal, state and local laws and regulations. Coker Tire reserves the right to modify or discontinue this offer, products and/or services at any time for any reason. No cash refunds. Please retain copies of the materials you submit. All requests become the property of Coker Tire and will not be returned. Coker Tire is not responsible for any lost, late, stolen, damaged, misdirected, incomplete, incorrect or illegible mail. No postage-due requests. For questions regarding this promotion, please call 866-784-2170 Monday through Friday between 8:00 a.m. and 8:00 p.m. ET. Offer may not be assigned, traded, sold or combined with any other Coker Tire offer. THIS OFFER IS NOT VALID WHERE PROHIBITED OR RESTRICTED BY LAW. Copyright ? 2018 Coker Tire. All rights reserved.

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