70 REDEMPTION FORM

$September 1 – September 30, 2017

Buy any set of four new MICHELIN passenger or light truck tires atparticipating dealers between September 1 and September 30, 2017,and get $70 via MasterCard Reward Card after submission!*®

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To learn more, call 1-866-212-9619.
Offer valid on purchases from 09/01/17 to 09/30/17. Form must be received by 10/30/17.
How to receive your $70 via MasterCard Reward Card:•		 Purchase tires from a participating dealer. Please call 1-800-MICHELIN or visit
MichelinMan.com for participating dealers.
•		 Submit your redemption online at tirerewardcenter.com or complete and mail in thisredemption form.
• Attach receipt (or legible copy) showing the purchase of four new MICHELIN passenger
or light truck tires within the offer period.
• Mail to: 2017 Michelin Dealer Tire Fall Promotion, P.O. Box 1578, Suite 302, Milan, IL 61264.
• Not valid with any other offer. See offer terms and conditions for further details.
• To check the status of your Reward Card request, visit tirerewardcenter.com.

There are two options
for rebate submission.

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1) For faster service,submit your redemption
online now attirerewardcenter.com.
OR2) Complete and mail inthis redemption form.

How many vehicles are in yourhousehold?
12
3
4
5 or more
What is your age?
18 – 25
40 – 55

26 – 39
Over 55

How many years have you been a
MICHELIN tire owner?
First timeLess than 5 years
More than 5 years®

How many tires did you intend
to purchase prior to learning of
this promotion?
1
2
3
4

Where did you buy your tires? (Dealer Name)

Invoice Number

Date of PurchaseMo.

Year of Vehicle

Make (e.g., Ford)

What tire brand was replaced when
you purchased your new set ofMICHELIN tires?
MICHELIN
Other®

DayYear®

Model (e.g., Taurus)

Email AddressFirst Name

Last Name

Address

Apt./Suite NumberCityStateZIP CodeHow did you first hear about thispromotion? (Please check one.)
Direct mailRadio
Newspaper
Television
Salesperson in store
WebsiteIn-store display
Email
Word of mouth
OtherOutdoor advertising
Which of the following was animportant contributing factor inyour most recent purchase ofMICHELIN tires? (Check allthat apply.)Michelin Promise Plan
Promotion/saleDealer recommendation
Friend/relative recommendation
Quality of product30-Day Satisfaction Guarantee
Mileage warranty
Free flat change and tow service
Actual tires on display
Tires in stock
Online research(reviews, websites, etc.)
Replacing another set ofMICHELIN tires®

Phone
The last four digits of the phone number are required for rebate processing.

What is the next vehicle you plan to purchase tires for?
Year of Vehicle

Make (e.g., Ford)

Does this vehicle currently have MICHELIN tires? (Please check one.)®

YesNoModel (e.g., Taurus)

When do you expect to purchase tires for this vehicle? (Please check one.)Don’t know

In the next 30 days

31 to 90 days from now

91 days to 1 year from now

More than 1 year from now

I want email notifications so I can take advantage of valuable special offers and promotions on mynext tire purchase, as well as sign up for tire rotation reminders and new product information from Michelin.

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Michelin has a very strict privacy policy. We do not sell or rent your personally identifiable information to third parties.

NIS* Offer valid for residents of the United States only who purchase from a participating dealer located in the fifty (50) United States, District of Columbia (“U.S.”) and U.S. Territories (Puerto Rico, Guam and U.S. Virgin Islands). Purchase must be completed between 09/01/2017 and 09/30/2017.
Limit of one (1) redemption request ( 70 MasterCard Reward Card) per purchase of four (4) new MICHELIN passenger or light truck tires. Limit of three (3) redemptions per household. Must be at least 18 years of age or older at the time of purchase to be eligible. All requests must
be postmarked or received on or before 10/30/2017. Please allow four (4) to six (6) weeks for delivery of the 70 MasterCard Reward Card via mail. Sales to Original Equipment manufacturers, fleets, wholesalers, business accounts and purchases for resale are not eligible for thispromotion. Original Equipment tires DO NOT qualify. Purchases from warehouse clubs (e.g., Sam’s Club, BJ’s, Costco), mass merchandisers (e.g., Sears) and national retailers (e.g., Discount Tire, Tire Kingdom, NTB, Merchant’s, Big O and Southeast Toyota) are excluded from this promotion,
but may be eligible for coverage under a store-specific promotion (see individual store[s] for details). In addition, purchases from any nonparticipating dealers are not eligible for this promotion. Tampering with, altering or falsifying purchase information constitutes fraud. All decisions made byMichelin (or its authorized representatives) relating to the validity of any submissions are final and binding. This promotion is subject to all federal, state and local laws and regulations. Michelin reserves the right to modify or discontinue this offer, products and/or services at any time for anyreason. No cash refunds. Please retain copies of the materials you submit. All requests become the property of Michelin North America, Inc., and will not be returned. Michelin is not responsible for any lost, late, stolen, damaged, misdirected, incomplete, incorrect or illegible mail. No
postage-due requests. For questions regarding this promotion, please call 1-866-212-9619 Monday through Friday between 8:00 a.m. and 8:00 p.m. ET. Please reference the 2017 Michelin Dealer Tire Fall Promotion when calling. Offer may not be assigned, traded, sold or combined withany other Michelin offer. THIS OFFER IS NOT VALID WHERE PROHIBITED OR RESTRICTED BY LAW.
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The Reward Card cannot be reloaded with additional funds, nor can it be used at an ATM. Reward Card expires six (6) months after issuance. No cash access. Fees apply. For complete terms, conditions and fees, see the Cardholder Agreement in your card package. Reward Card issued by U.S.
Bank National Association pursuant to a license from MasterCard International Incorporated. MasterCard is a registered trademark of MasterCard International Incorporated.
Copyright © 2017 Michelin North America, Inc. All rights reserved.