Receive your choice of a pair of SMS Audio “Street by 50” headphones or a $50 VISA® prepaid card with the purchase of 4 General Tires from 7/1/14 to 7/31/14. One per person, two per household. Eligible Tires: (Tires not listed will not be accepted) ALTIMAX™ ALTIMAX™ ALTIMAX™ ALTIMAX™ ARCTIC HP RT RT43 AMERITRAC™ AMERITRAC™ TR GMAX™ AS-03 GRABBER™ HTS GRABBER™ GRABBER™ AT2 GRABBER™ AW GRABBER™ GRABBER™ GRABBER™ GRABBER™ HP STX TR UHP Go to www.generaltirerebates.com to enter your claim online by 8/31/14. Late submissions will not be accepted. Online submissions are processed faster. • No mail in form required • Processing updates available online, via email and text message • Must have a valid email address to submit online GIFT WITH PURCHASE OFFER: Valid in the Continental U.S. and D.C. only from 7/1/14 through 7/31/14 or while supplies last. Valid with the original, dated, paid receipt for the purchase of 4 QUALIFYING GENERAL PASSENGER or LIGHT TRUCK tires. Tires must be purchased in a single transaction. Offer form must be mailed and postmarked or submitted online by 8/31/14; Offer not valid for wholesalers, dealers, fleets or other commercial entities. Limit one VISA® Prepaid Card or SMS Street by 50 headphones per person, two per household. Not responsible for lost, stolen, misdirected, illegible, mutilated, or postage due mail. Void where restricted or prohibited by law. Any taxes, fees or cost are sole responsibility of recipient. Allow 8-12 weeks for fulfillment. Visit your local dealer or WWW.GENERALTIRE.COM for redemption form and complete offer conditions. WARNING: Tampering with, altering, or falsifying purchase information constitutes fraud and could result in state and federal prosecution. 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. page 1 of 2 Online submissions are processed faster. Only complete the mail-in form below if you are not submitting online. Offer form must include a valid email address and current, residential street address of the purchaser only. PO Boxes are not accepted. Go to www.generaltirerebates.com to enter your claim online by 8/31/14. Late submissions will not be accepted. Instructions for mailing your claim: 1 Complete ALL information on this form 2 Include paid invoice and/or credit card receipt along with this offer form 3 Mail no later than 8/31/14. Late submissions will not be accepted. Complete the fields below if submitting your claim by mail: FIRST NAME LAST NAME EMAIL ADDRESS (PO BOXES NOT ACCEPTED) CITY STATE ZIP CODE Check here if you do not wish to be contacted by General Tire PHONE TIRE NAME SIZE (i.e.: 215/60R16) Gender: Age: male 18-24 female 25-35 36-45 How did you hear about this promo? Website Word of Mouth 46-55 Magazine Radio Have you purchased General Tires in the past? SELECT ONE BELOW 56+ Store Display Your choice of a pair of SMS Audio “Street by 50” headphones or a $50 VISA® prepaid card. Other Yes No SMS Audio “Street by 50” Headphones SELECT A COLOR: MAIL CLAIM TO: General Tire Roll In Rock Out Promotion PO Box 5408 Annapolis, MD 21403 Phone Number: 1- 855-899-3764 page 2 of 2 Fax Number: 1-855-351-4212 Shadow Black Ghost White Blue Green Red Pink Teal OR $50 VISA® prepaid card Email Address: [email protected]