Rebate Form

Tire Purchase Information

Upload Your Receipts

Scan Document

Please attach a digital scan or photo of your receipt

All fields are mandatory

Purchase Factors

Select All That Apply:

Customer Information

  • card img
  • Mastercard Prepaid Card

    It may take 8-10 weeks for your Mastercard prepaid card to arrive

Would you like to receive email updates on your rebate status?

All fields are mandatory

Channel Fusion, the servicing company of this rebate, will collect and store the following data points for the purposes of fraud detection: name, address, city, state, zip code, telephone number, email address, IP address, and point of purchase information including but not limited to store name, store address, store city, store state, store zip code, store phone number, store email address, and items purchased. Channel Fusion will not sell this data for any purpose however the manufacturer of the rebated product reserves the right to use this data for marketing purposes.