Ente

r the

" rs

t 4 a

nd la

st 4

dig

its o

f you

r Goo

dyea

r Cre

dit C

ard

belo

w to

rece

ive

your

in

crea

sed

reba

te.

Requ

ired

for G

oody

ear C

redi

t Car

d pu

rcha

ses

only

.

For n

ew c

ardh

olde

rs o

nly

: If y

ou h

ave

rece

ntly

app

lied

for t

he G

oody

ear C

redi

t Car

d an

d ar

e ap

prov

ed, y

ou

will

rece

ive

your

Goo

dyea

r Cre

dit C

ard

by m

ail w

ithin

7–

10 d

ays

of a

ppro

val.

*Add

ition

al t

erm

s an

d co

nditi

ons:

Lim

it on

e m

ail-

in r

ebat

e pe

r qu

alify

ing

purc

hase

, per

vis

it. C

anno

t be

com

bine

d w

ith o

ther

Goo

dyea

r re

bate

off

ers.

Reb

ates

are

on

a se

t of

fou

r tir

es. I

f yo

ur v

ehic

le r

equi

res

six

tires

, tire

reb

ates

ar

e av

aila

ble

on a

pro

rate

d ba

sis

for

the

two

addi

tiona

l tire

s. T

he p

rora

ted

tire

reba

te a

mou

nt, p

er a

dditi

onal

tire

, is

25

% o

f th

e tir

e re

bate

am

ount

list

ed a

bove

. The

min

imum

pur

chas

e is

a s

et o

f fo

ur t

ires

and

the

max

imum

pur

chas

e is

six

tire

s pe

r in

voic

e. O

ffer

s av

aila

ble

only

at

auth

oriz

ed p

artic

ipat

ing

U.S

. Goo

dyea

r R

etai

lers

and

web

site

s. O

ffer

va

lid o

nly

for

U.S

. res

iden

ts w

ho a

re in

divi

dual

con

sum

ers

with

mai

ling

addr

esse

s in

the

U.S

. and

U.S

. ter

ritor

ies.

C

omm

erci

al fl

eets

are

not

elig

ible

for

the

se r

ebat

es. N

ot v

alid

on

prev

ious

pur

chas

es. B

ase

port

ion

of r

ebat

e of

fere

d by

Goo

dyea

r an

d in

crea

sed

port

ion

of r

ebat

e of

fere

d by

Citi

bank

, N.A

. To

be e

ligib

le f

or t

he d

oubl

ed t

ire r

ebat

e,

purc

hase

mus

t be

mad

e on

the

Goo

dyea

r C

redi

t C

ard.

Sub

ject

to

cred

it ap

prov

al. T

he G

oody

ear

Cre

dit

Car

d is

issu

ed

by C

itiba

nk, N

.A. T

his

com

plet

ed f

orm

mus

t be

pos

tmar

ked

no la

ter

than

Jul

y 3

1, 2

01

8. A

llow

6 t

o 8

wee

ks f

or

Pre

paid

Car

d de

liver

y. G

oody

ear

rese

rves

the

rig

ht t

o su

bstit

ute

a ch

eck

of e

qual

val

ue in

lieu

of

a P

repa

id C

ard

at

its d

iscr

etio

n. F

raud

ulen

t su

bmis

sion

s w

ill n

ot b

e ho

nore

d an

d m

ay b

e pr

osec

uted

. Spo

nsor

is n

ot r

espo

nsib

le f

or

nonc

ompl

ying

reb

ate

subm

issi

ons

or f

or lo

st, l

ate,

ille

gibl

e, p

osta

ge-d

ue o

r un

deliv

erab

le m

ail.

Non

com

plyi

ng r

ebat

e su

bmis

sion

s w

ill n

ot b

e ho

nore

d, a

ckno

wle

dged

or

retu

rned

. Voi

d w

here

tax

ed, r

estr

icte

d or

pro

hibi

ted

by la

w. A

ll de

cisi

ons

mad

e by

Goo

dyea

r (o

r its

aut

horiz

ed r

epre

sent

ativ

es) r

elat

ing

to t

he v

alid

ity o

f an

y su

bmis

sion

s ar

e fi n

al

and

bind

ing.

Thi

s pr

omot

ion

is s

ubje

ct t

o al

l fed

eral

, sta

te, a

nd lo

cal l

aws

and

regu

latio

ns. R

etai

n co

pies

of

the

mat

eria

ls y

ou s

ubm

it.

By

resp

ondi

ng t

o th

is o

ffer

, you

will

be

disc

losi

ng a

ll th

e in

form

atio

n re

ques

ted

on t

his

form

to

a fu

lfi llm

ent

com

pany

affi

liate

d w

ith G

oody

ear

for

proc

essi

ng t

he r

ebat

e. T

he f

ulfi l

lmen

t co

mpa

ny u

ses

this

info

rmat

ion

to p

roce

ss a

nd f

ulfi l

l you

r re

bate

cla

im. T

o vi

ew t

he G

oody

ear

priv

acy

polic

y, g

o to

ht

tps:

//w

ww

.goo

dyea

r.com

/en-

US

/ter

ms-

cond

ition

s-pr

ivac

y-po

licy.

This

Car

d is

issu

ed b

y S

unris

e B

anks

N.A

., M

embe

r FD

IC, p

ursu

ant

to a

lice

nse

from

Mas

terC

ard

Inte

rnat

iona

l In

corp

orat

ed. M

aste

rCar

d is

a r

egis

tere

d tr

adem

ark

of M

aste

rCar

d In

tern

atio

nal I

ncor

pora

ted.

Thi

s ca

rd m

ay b

e us

ed e

very

whe

re M

aste

rCar

d de

bit

card

s ar

e ac

cept

ed. R

egis

trat

ion,

act

ivat

ion,

acc

epta

nce

or u

se o

f th

is c

ard

cons

titut

es a

ccep

tanc

e of

the

ter

ms

and

cond

ition

s st

ated

in t

he P

repa

id C

ard

Agr

eem

ent.

Goo

dyea

r is

not

af

fi lia

ted

with

Mas

terC

ard.

Eac

h tim

e yo

u us

e th

e C

ard,

the

am

ount

of

the

tran

sact

ion

will

be

dedu

cted

fro

m t

he

amou

nt o

f yo

ur a

vaila

ble

bala

nce.

Car

d w

ill b

e is

sued

in t

he n

ame

on t

he r

edem

ptio

n fo

rm o

nly.

Car

d ex

pire

s af

ter

6 m

onth

s, s

ubje

ct t

o ap

plic

able

law

. Car

d is

non

-tra

nsfe

rabl

e an

d no

n-re

fund

able

. Ter

ms

and

cond

ition

s ap

ply

to t

he P

repa

id C

ard.

Cer

tain

fee

s m

ay a

pply

. See

Pre

paid

Car

d fo

r de

tails

. To

chec

k th

e ba

lanc

e of

you

r C

ard

or r

ecei

ve t

he t

erm

s an

d co

nditi

ons,

vis

it pr

epai

d.ci

ti.co

m/g

oody

earr

ebat

es o

r ca

ll 1

-80

0-5

22

-74

58

.

DuP

ont™

and

Kev

lar®

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tra

dem

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regi

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ed t

rade

mar

ks o

f E.

I. du

Pon

t de

Nem

ours

and

Com

pany

.

IMP

OR

TAN

T –

We

su

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est

yo

u k

ee

p a

co

py

of

yo

ur

com

ple

ted

re

ba

te f

orm

fo

r re

fere

nce

.

For

ad

dit

ion

al q

ues

tio

ns

or

to c

he

ck t

he

sta

tus

of

yo

ur

reb

ate

, you

may

vis

it w

ww

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dyea

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eReb

ates

.com

, em

ail G

oody

earC

onsu

mer

Reba

tes@

acbc

oop.

com

or c

all G

oody

ear R

ebat

e Cu

stom

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ervi

ce a

t 1-8

44

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03

wee

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8 p

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ON

LIN

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BY

MAI

LCo

mpl

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and

mai

l in

this

form

plu

s a

copy

of y

our i

nvoi

ce to

:

Goo

dyea

r Off

er 7

180

05

P.O.

Box

343

160

Bar

tlet

t, T

N 3

8184

Subm

issi

ons

mus

t be

post

mar

ked

or s

ubm

itte

d on

line

by 7

/31

/18.

Inv

oice

mus

t hav

e el

igib

le

tire

nam

e an

d pr

oof o

f pur

chas

e on

Goo

dyea

r Cre

dit C

ard

(whe

n a

pplic

able

) cl

earl

y in

dica

ted.

Allo

w 6

to 8

wee

ks fo

r Pre

paid

Car

d de

liver

y.

YOU

CAN

RED

EEM

YO

UR

REB

ATE

TWO

WAY

S:

OR

KIT

_NPP

2

XX

XX

XX

XX

Get

you

r Goo

dyea

r Pre

paid

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terC

ard®

Card

fast

er if

you

sub

mit

at

ww

w.G

oo

dy

earT

ire

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ba

tes

.co

m. Y

ou’ll

nee

d to

ent

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$ er

nu

mbe

r 718

00

5 a

nd u

ploa

d a

copy

of y

our i

nvoi

ce.

Abo

ve r

ebat

es a

re o

n a

set

of f

our

tires

. If

your

veh

icle

req

uire

s si

x tir

es, r

ebat

es a

re a

vaila

ble

on a

pro

rate

d ba

sis

for

the

two

addi

tiona

l tires

. The

pro

rate

d re

bate

am

ount

, per

add

ition

al t

ire,

is 2

5%

of

the

reba

te

amou

nt li

sted

abo

ve. T

he m

inim

um p

urch

ase

is a

set

of

four

tires

and

the

max

imum

pur

chas

e is

six

tires

per

invo

ice.

Ple

ase

spec

ify q

uant

ity b

elow

.

REQ

UIR

ED F

OR

IN

CR

EASE

D R

EBAT

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ET U

P T

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0 B

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WH

EN Y

OU

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F TH

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:B

ASE

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OF

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FIL

L O

UT

THIS

INFO

RM

ATIO

N:

The

nam

e an

d ad

dres

s yo

u en

ter b

elow

MU

ST m

atch

the

info

rmat

ion

on

the

invo

ice.

FIR

ST N

AME:

LAST

NAM

E:

HO

ME

ADD

RES

S:

EMAI

L (O

PTI

ON

AL):

†

––

PHO

NE:

STAT

E:ZI

P C

OD

E:

VEH

ICLE

YE

AR:

VEH

ICLE

MAK

E:

VEH

ICLE

MO

DEL

:TI

RE

SIZE

:

//

INVO

ICE

DAT

E:Q

UAN

TITY

:IN

VOIC

E N

UM

BER

:

† B

y pr

ovid

ing

your

em

ail a

ddre

ss, y

ou a

gree

to re

ceiv

e co

mm

unic

atio

ns re

gard

ing

your

reba

te s

ubm

issi

on, w

hic

h m

ay in

clud

e up

date

s on

sta

tus

and/

or re

ques

ts fo

r add

itio

nal i

nfo

rmat

ion,

whe

n n

eces

sary

.

AUTH

OR

IZED

STO

RE

#/N

ON

-SIG

/WEB

SITE

:

APT/

SUIT

E:CI

TY: