SPRING REBATE
2015 CLAIM FORM
yokohamarebate.ca
For faster processing and to be automatically entered for a chance to win a prize, submit your claim online at YokohamaRebate.ca
CLAIM YOUR REBATE
IN 3 STEPS
ALL FIELDS ARE MANDATORY
FOR APPROVAL
1
Read rules & regulations.
Fill out the rebate claim form
2
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Attach a copy of
your invoice
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3
Mail to: Yokohama Rebate Centre
PO Box 97199, Richmond Main,
Richmond BC V6X 8H3
DATE...........................................................FIRST
NAME.If........
.....................................................LAST NAME.............................................................................
month / day / year
claiming under a business name, enter the approved business name for cashing the cheque
ADDRESS............................................................................................................................................................................... UNIT....................................................
CITY............................................................................................. PROVINCE.................................. POSTAL CODE......................................................................
PHONE
NUMBER..................................................................... EMAIL............................................................................................................................................
Contact information is collected here for the sole purpose of rebate processing communication only. You will not be solicited for any promotional offers without your consent.
VEHICLE MAKE......................................................................... MODEL............................................................................YEAR....................................................
Please check the rebate amount that you are claiming in the chart below:
One claim form is required for every set of four (4) tires purchased. (Federal & Provincial taxes are included in the claim amount). Some restrictions apply.
$80 CASH BACK
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$70 CASH BACK
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$60 CASH BACK
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$50 CASH BACK
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Tires must be purchased between March 15 to May 31 , 2015. Claims forms must be received by June 21st, 2015.
th
st
TIRE DEALER NAME..........................................................................................................................................................................................................................
CITY............................................................................................. PROVINCE.................................. POSTAL CODE......................................................................
DATE OF PURCHASE.............................................................. INVOICE NUMBER......................................................................................................................
To qualify for your rebate, please answer the following questions:
Female
Male
Have you purchased Yokohama tires in the past?
Yes
No
How many vehicles do you have in your household?
1
2
3
4
5+
How did you find out about this promotion?
Poster
Website
Radio
Dealer
Newspaper
What is your age range?
18-24
25-34
35-44
45-54
55+
What is your annual household income? optional
< $25K
$25K-$49K+
$50K-$74K+
$75K-$99K+
Would you be interested in receiving emails from Yokohama alerting you of future promotions, tire-care tips, etc.?
Magazine
Friend
$100K-$124K+
$125K-$149K+
$150K+
Yes
No
On a scale of 1 to 5 (1= worst experience and 5= best experience), how would you rate your purchase experience at your Authorized Yokohama Dealer? 1
Rules & Conditions:
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From March 15th to May 31st, 2015, consumers can get $80 cash back on a set of four ADVAN Sport A/S,
GEOLANDAR G055 and GEOLANDAR H/T G056. Get $70 cash back on a set of four AVID Ascend, ADVAN
Sport V105, ADVAN Neova AD08R, ADVAN ST, GEOLANDAR A/T-S, GEOLANDAR M/T+, S.drive and PARADA
Spec-X. Get $60 cash back on a set of AVID ENVigor and $50 cash back on a set of AVID TOURING-S.
The Spring Rebate only applies to retail sales of new replacement tires from an authorized Yokohama
Canada dealer. Claims from unauthorized dealers will be denied.
All rebate submissions must be mailed in by the end user and not the dealer from where the tires were
purchased.
You must purchase individual sets of four (4) tires (no singles or doubles).
A maximum of 4 sets of tires purchased can be claimed per household, business and or name.
To claim your YOKOHAMA cash back rebate you must fully complete this claim form, attach a copy of your
invoice and mail it to the Yokohama Rebate Centre by June 21st, 2015.
The invoice from a Canadian retail dealer must clearly identify the tire dealer name, invoice number,
date of purchase, tread pattern name, tire size, customer or business name, quantity purchased and the
installation/mounting fees. Tires must be purchased and installed at the same authorized Canadian
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Yokohama Tire dealer
Qualifying Yokohama cash back rebate cheques will be processed and mailed out according to the information
found on this claim form. Your cash back rebate will be in the form of a cheque only. Cheques will only be
mailed to Canadian addresses.
May not be combined with any other Yokohama or dealer promotion or program.
Failure to provide the documents, incomplete documentation or illegible documentation will result in the
rejection of your claim.
Please ensure that you keep a copy of all forms including your receipt for your records. We will not be returning
any proofs of purchase submitted with any claims.
Yokohama Tire (Canada) Inc. is not responsible for lost, stolen, damaged or misdirected mail / Yokohama cash
back rebates / forms.
All fields must be completed or your claim will not qualify for this offer.
To check the status of your rebate visit www.yokohamarebate.ca or email [email protected] or call
1-888-YOKO-REB no sooner than 8 WEEKS AFTER you have mailed in your claim form.
Please follow the instructions on the site to track your claim.
Mail to:
Yokohama Rebate Centre
PO Box 97199, Richmond Main, Richmond BC V6X 8H3
Other
Yokohama.ca
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