2017 YOKOHAMA FALL REBATEPURCHASE BETWEEN: SEPTEMBER 15 - DECEMBER 15, 2017

For a faster processing submit your claim online at YOKOHAMAREBATE.CA or mail to: Yokohama Rebate Centre PO Box 97199, Richmond Main, Richmond BC V6X 8H3

YOKOHAMA REBATE CENTRE PO Box 97199, Richmond Main, Richmond BC V6X 8H3 | 1.888.965.6732 | YOKOHAMAREBATE.CA

ELIGIBLE TIRES: (PLEASE INDICATE SET OF 4 TIRES PURCHASED)

$70 CASH BACK iceGUARD iG52c

$70 CASH BACK iceGUARD iG51v

$70 CASH BACK BluEarth WINTER V905

$70 CASH BACK W.drive WY01

$70 CASH BACK GEOLANDAR G055

$70 CASH BACK GEOLANDAR H/T G056

$70 CASH BACK GEOLANDAR A/T G015

$70 CASH BACK AVID ENVigor

$70 CASH BACK AVID Ascend

$50 CASH BACK AVID TOURING-S

Claim forms must be received by January 15th, 2018

PLEASE CHECK THE BOXES THAT APPLY TO YOU:

YES! I would like to receive email updates about future promotions from Yokohama

This is my first time purchasing Yokohama

Male Female

How many vehicles are in your household?

1 2 3 or more

What is your age range?

25-34 35-44 45-54 55+

Rules & Conditions:1. From September 15th to December 15th, 2017, consumers can get $70 cash back on a set of four BluEarth WINTER V905, W.drive WY01, iceGUARD iG52c, iG51v; AVID Ascend, AVID ENVigor;

GEOLANDAR G055, G056, G015. Get $50 cash back on a set of 4 AVID TOURING-S.2. The Fall Rebate only applies to retail sales of new replacement tires from an authorized Yokohama Canada dealer. Claims from unauthorized dealers will be denied.3. All rebate submissions must be mailed in by the end user and not the dealer from where the tires were purchased.4. You must purchase individual sets of four (4) tires (no singles or doubles).5. A maximum of 4 sets of tires purchased can be claimed per household, business and or name.6. To claim your YOKOHAMA cash back rebate you must fully complete this claim form, attach a copy of your invoice and mail it to the Yokohama Rebate Centre by January 15th, 2018.7. The invoice from a CANADIAN AUTHORIZED RETAIL DEALER must clearly identify the tire dealer name, invoice number, date of purchase, tread pattern name, tire size, customer or business name, quan-

tity purchased and the installation/mounting fees. Tires must be purchased and installed at the same authorized Canadian Yokohama Tire dealer.8. Qualifying Yokohama cash back rebate cheques will be processed and mailed out according to the information found on this claim form. Your cash back rebate will be in the form of a cheque only.

Cheques will only be mailed to Canadian addresses.9. May not be combined with any other Yokohama or dealer promotion or program.10. Failure to provide the documents, incomplete documentation or illegible documentation will result in the rejection of your claim.11. Please ensure that you keep a copy of all forms including your receipt for your records. We will not be returning any proofs of purchase submitted with any claims.12. Yokohama Tire (Canada) Inc. is not responsible for lost, stolen, damaged or misdirected mail / Yokohama cash back rebates / forms.13. All fields must be completed or your claim will not qualify for this offer.To check the status of your rebate visit www.yokohamarebate.ca or email rebate@yokohama.ca or call 1-888-965-6732 no sooner than 8 WEEKS AFTER you have mailed in your claim form. Please follow the instructions on the site to track your claim.

FIRST NAME (PLEASE PRINT CLEARLY) LAST NAME DATE (month/day/year)

MAILING ADDRESS UNIT

CITY PROVINCE POSTAL CODE

EMAIL ADDRESS (REQUIRED FOR COMMUNICATION) PHONE NUMBER

VEHICLE MAKE MODEL YEAR TIRE SIZE (WIDTH, PROFILE, DIAMETER)

TIRE DEALER NAME CITY PROVINCE POSTAL CODE

DATE OF PURCHASE (month/day/year) INVOICE # COUPON (IF APPLICABLE)

What is your annual income? optional

$25k-$49k+ $50k-$74k+ $75-$99k+

$100k-$124k+ $125k-$149k+ $150k+

How did you learn about this promotion (check all that apply):

In Store Online Print Ad

Radio\TV Friend Other

On a scale of 1 to 5 (1=worst experience & 5=best experience),how would you rate your purchase experience?

1 2 3

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