2018 FIRestone SUMMER promotion - tireimages.com

1 5B45G3-014-CFNAOFFER EXCLUDES GM PURCHASES. Reward will be fulfilled with a FIRestone Visa prepaid card by mail. Limit 1 reward per each set of 4 tires purchased, limit 2 rewards per household, customer or address. Visa prepaid card may be used everywhere Visa debit cards are accepted. Certain limitations apply. See Cardholder Agreement. Not redeemable for cash. Please allow 10 12 weeks for the receipt of the prepaid card . Visit or call (800) 903-9838 to check the status of your claim after 4 weeks. Title (Mr., Mrs., Ms.) First Name (PLEASE PRINT CLEARLY) Last Name Mailing AddressCity State Zip Code Email Address (REQUIRED FOR COMMUNICATION)()Mobile PhoneReceipt/Invoice Date: //2018 Month Day I had my new set of 4 eligible FIRestone tires mounted on the following vehicle:Year Make ModelREWARD: $60 FIRestone Visa prepaid card .

2 offer Code: FSUSFALL18$100 FIRestone Visa prepaid card (I purchased my qualifying FIRestone Tires with my new or existing CFNA account.) For verification purposes, please provide your 9-digit CFNA Credit card account number (required):YES!I would like to receive future FIRestone marketing updates and promotions via(CHARGES FROM YOUR MOBILE CARRIER MAY APPLY) email and/or textFS2018 FIRestone FALL promotionOFFICIAL CLAIM FORM PURCHASE BETWEEN: OCTOBER 4 - NOVEMBER 5, 2018 FILE YOUR REWARD CLAIM ONLINE AT OR MAIL IN (SEE DETAILS TO RIGHT): ALL SUBMISSIONS MUST BE FILED ONLINE AT OR RECEIVED NO LATER THAN NOVEMBER 15, 2018. ORIGINAL, FULLY COMPLETED, FINAL PAID & STORE-IDENTIFIED INVOICE MUST BE SUBMITTED WITH THIS CLAIM FORM (DO NOT STAPLE).MAIL TO: FIRestone REWARDSPO BOX 37605 BOONE, IA 50037-0605 ELIGIBLE TIRES: (Please indicate set of 4 tires purchased.)

3 Run flat versions of all eligible tires accepted.) Champion with Fuel Fighter Destination A/T Destination M/T Destination M/T2 Destination LE2 Destination LE Destination S/T Firehawk Indy 500 Firehawk Wide Oval Indy 500 Firehawk Wide Oval A/S Firehawk Wide Oval Firehawk A/S1. Retail purchasers only. offer excludes commercial, fleet and group purchases, employee changeovers, and warranty replacement purchases. Valid in the only. Void in PR and where prohibited. Must be 18 or over. No special orders or rain checks. Claim form required. Cannot be combined with any other Customer information collected herein is solely used by Bridgestone Americas Tire Operations, LLC ( Bridgestone ) for internal marketing purposes and for the administration of offer , and to contact the consumer if we have express consent.

4 Bridgestone and its agencies are not responsible for (a) late, lost, altered, forged, illegible/garbled, inaccessible, corrupted, defective, postage due or misdirected submissions regardless of cause, or (b) technological problems/malfunctions/failures of any kind. All decisions of Bridgestone are final. 3. FIRestone Visa prepaid card issued by The Bancorp Bank pursuant to a license from Visa Inc. The Bancorp Bank; Member FDIC. The prepaid card is given to you as a reward or gift and no consideration, value or money has been paid by you for the card . No cash access or recurring payments. card valid for up to six months, unused funds forfeit at midnight EST the last day of the month of the valid thru date. card terms and conditions apply; see All trademarks and brand names belong to their respective owners. Use of these trademarks and brand names do not represent endorsement by or association with this card program.

5 All rights To receive the $100 FIRestone Visa prepaid card by mail you must purchase a set of 4 eligible FIRestone tires with your new or existing CFNA credit card account. The full 9-digit account number must be provided at time of submission. CFNA accounts subject to credit approval. The FIRestone Visa prepaid card cannot be used to pay any credit card balance. The Bancorp Bank is not affiliated in any way with this credit card offer and does not endorse or sponsor this credit card offer . Participating retailers FALL PROMOTIONAL TERMS AND CONDITIONSI nvoice and claim form must be submitted for each eligible check the boxes that apply to you: This is my first time purchasing FIRestone products. This is my first time participating in a FIRestone have heard of the FIRestone 30-Day Buy&Try guarantee that allows you to refund or replace your tires if you are not 100% satisfied?

6 Yes No Not Sure If you said yes to the above question, did it influence your purchase of FIRestone tires? Yes NoWhat is your age? 18-24 25-39 40-59 60+ PURCHASE LOCATION:Store NameStore AddressCity State Zip Code Which brand of tires are you replacing (check all that apply): BFGoodrich Bridgestone Continental Cooper FIRestone Goodyear Hankook Kumho Michelin Nitto Pirelli To y o Yokohama Other Winterforce Winterforce 2 Winterforce 2UV Winterforce UV Winterforce LT