Mail before June 26, 2016, with a copy of your invoice (see reverse for details) to: UNIROYAL® SPRING 2016 PROMOTION P.O. BOX 6046, PARIS, ON N3L 3W6 Please indicate your language of choice:
DURABILITY, RELIABILITY, AFFORDABILITY
English q
French q
Please print legibly. Invoice #* Retailer name* First name*
Mr. q
Ms. q
Last name*
Uniroyal tires are designed for you! ®
Address* Apt.*
City*
Province* Postal code*
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Daytime telephone
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Email address (If you would like to receive confirmation of claim form receipt by email) * Required information
UNI5014
q I authorize Uniroyal to send me information concerning contests, promotions and new products. ®
1- Did this promotion influence your selection of Uniroyal tires versus a competitor’s product? Yes q No q ®
40
$
2- How did you first hear about this promotion? (Please check one.) Radio q In-store display q Outdoor advertising q Direct mail q Friend/family q Email q Newspaper q Television q Facebook page q Salesperson in store q Website q Other q
MAIL-IN REBATE when you buy 4 Uniroyal passenger or light truck tires ®
FROM MARCH 18 TO MAY 31, 2016
3- What tire brand was replaced when you purchased your new set of Uniroyal tires? Uniroyal q MICHELIN q BFGoodrich q General q Hankook q Cooper q Firestone q GT Radial q Multi-Mile q Other q ®
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HOW TO RECEIVE YOUR MAIL-IN REBATE:
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4- How many years have you been a Uniroyal tire owner? First time q Less than 5 years q More than 5 years q ®
COMPLETE ONLINE CLAIM • Go to promo.uniroyal.ca to request your rebate online.
5- What kind of tires do you normally use? q Winter or all-season tires/summer tires (according to the season) q All-season or summer tires all year-round q Winter tires year-round
OR MAIL IN CLAIM • Attach a copy of your detailed invoice† clearly indicating the purchase of four Uniroyal® passenger or light truck tires
6- How soon do you expect to purchase tires again (for another vehicle or this one)? q In the next 3 months q In 1 year or less q More than 1 year from now
(between March 18 and May 31, 2016).
• Mail before June 26, 2016, to: Uniroyal® Spring 2016 Promotion P.O. Box 6046, Paris, ON N3L 3W6
7- What is the make and year of your vehicle? Make _______________________________________ Year ___________________
† Estimates, work orders or quotations are not acceptable as proof of purchase.