OFFICIAL PIRELLI 2016 WINTER $70 MAIL IN REBATE FORM
OFFICIAL PIRELLI 2016 WINTER $70 MAIL-IN REBATE FORM
Offer valid from November 18 through December 19, 2016
Please fill out this information (All Fields are Mandatory):
To redeem your mail-in rebate complete this rebate form and send it along with proof of purchase (i.e. original sales receipt or satisfactory proof of purchase dated between 11/18/16 and 12/19/16) to:
FIRST NAME
Pirelli $70 Rebate PI16-3349 PO Box 472 Scottsdale, AZ 85252-0472
LAST NAME
ADDRESS
Proof of purchase must show the purchase of any new, matching set of four (4) select qualifying* Pirelli Tires. Rebate will be in the form of a $70 Pirelli Visa® Prepaid Card.
CITY
STATE
ZIP CODE
PHONE NUMBER
Date of Purchase:_____________________________________________________ EMAIL ADDRESS: Please provide your e-mail address to have rebate tracking information sent to you.
I had my set of Pirelli Tires mounted on the following vehicle Year:_______________Make:_______________Model:______________________
STORE NAME AND LOCATION WHERE I PURCHASED MY TIRES Yes, please send me future coupons and offers from Pirelli.
THE FOLLOWING INFORMATION IS REQUIRED FOR REBATE PROCESSING *BELOW ARE THE QUALIFYING TIRES FOR THIS REBATE, PLEASE CHECK THE SET OF FOUR (4) QUALIFYING TIRES PURCHASED:
WINTER Scorpion™ Ice & Snow
Scorpion™ Winter
Cinturato™ Winter
Ice Zero™
Ice Zero™ FR
Winter Snowcontrol™
Winter Snowcontrol™ Serie II
Winter Snowcontrol™ Serie 3
Winter SottoZero™
Winter SottoZero™ Serie II
Winter SottoZero™ 3
Winter Carving™
Winter Carving Edge™
Winter Snowsport™
Winter Ice Control™
PLEASE TAKE A MOMENT TO COMPLETE THIS OPTIONAL QUESTIONNAIRE BELOW: Age:
16-24
25-34
35-44
45-54
55 or over | Gender:
Male
Female
How did you first hear about this promotion? Newspaper/magazine
Online
In-store sales person
In-store display
Friend
If you have received another service at the time you purchased Pirelli tires please indicate which one:
Other
Would you have purchased Pirelli Tires without this promotion?
Yes
No
Did you replace Pirelli Tires when you purchased this new set of tires?
Yes
No
Have you purchased Pirelli Tires in the past?
Yes
No
Front end alignment
Brake service
Oil change
Windshield service
Other
Offer valid only for legal residents of the 50 United States, District of Columbia, and Puerto Rico who are 18 years or older, who are individual consumers. Requests must be postmarked by January 19, 2017. Not valid with other offers. Void where taxed, restricted or prohibited. PO boxes will not be paid, except in North Dakota. Allow six to eight weeks after mailing for delivery of your prepaid card. Limit one offer per envelope and two offers per name/household/address. Pirelli Tire reserves the right to confirm identification and request additional proof of purchase to substantiate claim. Fraudulent submissions could result in federal prosecution under US Mail fraud statutes (18 USC Sections 1341 and 1342). This promotion is subject to all federal, state and local laws and regulations. Please retain copies of the materials you submit. All requests become the property of Pirelli and will not be returned. Pirelli is not responsible for any late, lost, illegible, postage due or misdirected mail. Pirelli reserves the right to cease making the claim form available online due to electronic, programming or technological problems/malfunctions/failures of any kind. The information you submit herein is governed by the Pirelli privacy policy, which can be found at http://www.pirelli.com/tire/us/en/site/privacydl.html. Prepaid card is given to you as a rebate and no money has been paid by you for the card. Prepaid card is issued by MetaBank®, Member FDIC, pursuant to a license from Visa U.S.A. Inc. No cash access or recurring payments. Card valid for up to 6 months; unused funds will be forfeited at midnight EST the last day of the month of the valid thru date. Card terms and conditions apply, see MyPrepaidCenter.com/site/visa-promo.
Please sign me up for communications about offers, promotions, events and products from Pirelli Tire LLC and its affiliates. You may withdraw your consent to receive these communications at any time. The information you submit herein is governed by the Pirelli privacy policy, which can be found at http://www.pirelli.com/tire/us/en/site/privacydl.html. To check the status of your rebate visit www.rapid-rebates.com/pirelli For additional inquiries, please call 1-888-483-2469
PI16-3349
Offer valid from November 18 through December 19, 2016
Please fill out this information (All Fields are Mandatory):
To redeem your mail-in rebate complete this rebate form and send it along with proof of purchase (i.e. original sales receipt or satisfactory proof of purchase dated between 11/18/16 and 12/19/16) to:
FIRST NAME
Pirelli $70 Rebate PI16-3349 PO Box 472 Scottsdale, AZ 85252-0472
LAST NAME
ADDRESS
Proof of purchase must show the purchase of any new, matching set of four (4) select qualifying* Pirelli Tires. Rebate will be in the form of a $70 Pirelli Visa® Prepaid Card.
CITY
STATE
ZIP CODE
PHONE NUMBER
Date of Purchase:_____________________________________________________ EMAIL ADDRESS: Please provide your e-mail address to have rebate tracking information sent to you.
I had my set of Pirelli Tires mounted on the following vehicle Year:_______________Make:_______________Model:______________________
STORE NAME AND LOCATION WHERE I PURCHASED MY TIRES Yes, please send me future coupons and offers from Pirelli.
THE FOLLOWING INFORMATION IS REQUIRED FOR REBATE PROCESSING *BELOW ARE THE QUALIFYING TIRES FOR THIS REBATE, PLEASE CHECK THE SET OF FOUR (4) QUALIFYING TIRES PURCHASED:
WINTER Scorpion™ Ice & Snow
Scorpion™ Winter
Cinturato™ Winter
Ice Zero™
Ice Zero™ FR
Winter Snowcontrol™
Winter Snowcontrol™ Serie II
Winter Snowcontrol™ Serie 3
Winter SottoZero™
Winter SottoZero™ Serie II
Winter SottoZero™ 3
Winter Carving™
Winter Carving Edge™
Winter Snowsport™
Winter Ice Control™
PLEASE TAKE A MOMENT TO COMPLETE THIS OPTIONAL QUESTIONNAIRE BELOW: Age:
16-24
25-34
35-44
45-54
55 or over | Gender:
Male
Female
How did you first hear about this promotion? Newspaper/magazine
Online
In-store sales person
In-store display
Friend
If you have received another service at the time you purchased Pirelli tires please indicate which one:
Other
Would you have purchased Pirelli Tires without this promotion?
Yes
No
Did you replace Pirelli Tires when you purchased this new set of tires?
Yes
No
Have you purchased Pirelli Tires in the past?
Yes
No
Front end alignment
Brake service
Oil change
Windshield service
Other
Offer valid only for legal residents of the 50 United States, District of Columbia, and Puerto Rico who are 18 years or older, who are individual consumers. Requests must be postmarked by January 19, 2017. Not valid with other offers. Void where taxed, restricted or prohibited. PO boxes will not be paid, except in North Dakota. Allow six to eight weeks after mailing for delivery of your prepaid card. Limit one offer per envelope and two offers per name/household/address. Pirelli Tire reserves the right to confirm identification and request additional proof of purchase to substantiate claim. Fraudulent submissions could result in federal prosecution under US Mail fraud statutes (18 USC Sections 1341 and 1342). This promotion is subject to all federal, state and local laws and regulations. Please retain copies of the materials you submit. All requests become the property of Pirelli and will not be returned. Pirelli is not responsible for any late, lost, illegible, postage due or misdirected mail. Pirelli reserves the right to cease making the claim form available online due to electronic, programming or technological problems/malfunctions/failures of any kind. The information you submit herein is governed by the Pirelli privacy policy, which can be found at http://www.pirelli.com/tire/us/en/site/privacydl.html. Prepaid card is given to you as a rebate and no money has been paid by you for the card. Prepaid card is issued by MetaBank®, Member FDIC, pursuant to a license from Visa U.S.A. Inc. No cash access or recurring payments. Card valid for up to 6 months; unused funds will be forfeited at midnight EST the last day of the month of the valid thru date. Card terms and conditions apply, see MyPrepaidCenter.com/site/visa-promo.
Please sign me up for communications about offers, promotions, events and products from Pirelli Tire LLC and its affiliates. You may withdraw your consent to receive these communications at any time. The information you submit herein is governed by the Pirelli privacy policy, which can be found at http://www.pirelli.com/tire/us/en/site/privacydl.html. To check the status of your rebate visit www.rapid-rebates.com/pirelli For additional inquiries, please call 1-888-483-2469
PI16-3349
