TO RECEIVE YOUR REBATE(S): 3 MILLION 1. Complete this …

[Pages:1]Last year, we sold over

3 MILLION

TIRES

(That's a tire every 4.09 seconds)

GO WITH CONFIDENCE

GET UP TO

$130

in mail-in rebates on four select tires when you use the

Ford Service Credit Card.*

Dealer-installed retail purchases only. Limit one redemption per customer. Tire rebates: $80 tire rebate on Pirelli.TM $70 tire rebate on Michelin. $60 tire rebate on Goodyear, Dunlop, General Tire, Hankook and Yokohama. $50 tire rebate on BFGoodrich.? Tire rebate by prepaid debit card or apply to an active Owner Advantage Rewards? account. Credit card: $50 rebate by prepaid debit card only. Subject to credit approval. Complete purchase must be made on the Ford Service Credit Card. Offer valid between 2/1/15 and 3/31/15. Submit rebate by 4/30/15 . Cannot be combined with any other tire manufacturer-sponsored or Ford Service Credit Card rebate/offer. See participating dealership for vehicle applications, rebate and account details. Must purchase four Pirelli tires with the Ford Service Credit Card to qualify for $130 in rebates.

TO RECEIVE YOUR REBATE(S):

1. Complete this form. If you have additional Ford Service rebates, please indicate below. You may submit them together and complete the information below only once.

2. Make a copy for your records and attach your original sales receipt (repair order).

3. Mail to: Redemption Headquarters P.O. Box 40990 Redford, MI 48239

For more information, email fordrebate@ or call 1-877-310-3673.

Please select your rebate payment type below: either rebate payment by prepaid debit card or apply rebate payment as credit to an active Owner Advantage Rewards account. Contact information is required regardless of the rebate payment option selected. Original receipt must be submitted with completed redemption form and must be postmarked by 4/30/15. Please allow 6-8 weeks for rebate processing.

Please choose how you wish to receive this rebate (check one box only):

F ull rebate by

OR

prepaid debit card

(up to $130)

A pply tire rebate to Owner Advantage Rewards account and receive $50 credit card rebate by prepaid debit card.

Rebate deposited to an active Owner Advantage Rewards account will expire 12 months from the submission deadline.

Please print clearly: Owner Advantage Rewards member number (if applicable): ______________________________________

Member number can be found on your membership card, key tag or mobile member card.

Name: ________________________________________________________________________________________________

Address: _____________________________________________________________________________________________

City: __________________________________________________________ State: ________ ZIP: __________________

Phone number: ______________________________________________________________________________________

Ford Service Credit Card account number: XXXX XXXX XXXX

Vehicle Identification Number: _____________________________________________________________________

Email address (optional):* __________________________________________________________________________

*By providing your email address, you agree to receive email communications, including product and service information and special offers, from Quick Lane,? Ford Motor Company and its dealers.

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