* Dealer-installed retail purchases only. Limit one redemption per customer. $80 tire rebate on Pirelli.® $60 tire rebate on Goodyear, Dunlop, General Tire, Yokohama,® Hankook. $50 tire rebate on BFGoodrich.® $40 tire rebate on Uniroyal.® Tire rebate by prepaid debit card or apply to an active Owner Advantage Rewards® account. Offer valid 2/1/18 to 3/31/18. Submit rebate by 4/30/18 by mail-in rebate form or online at fordowner.com. Cannot be combined with any other tire manufacturer-sponsored rebate/offer. See participating U.S. dealership for vehicle applications, rebate and account details.

BU Y FOUR SELEC T TIRE S , GE T UP TO AN $80 REBATE BY MAIL .*

** By providing your email address, you agree to receive email communications, including product and service information and special offers, from Quick Lane,® Ford Motor Company and its dealers.

TO RECEIVE YOUR REBATE(S):1. Complete this form. If you have additional service rebates, please indicate below.

You may submit them together and complete the information below only once.2. Make a copy for your records and attach your original sales receipt(s) (repair orders).3. Mail to:

Redemption Headquarters P.O. Box 40990 Redford, MI 48240

For more information, email fordrebate@automed5.com or call 877-310-3674.

For all rebate submissions, original receipt(s) must be submitted with completed redemption form and postmarked by 4/30/18. Please allow 6–8 weeks after claim is received by Headquarters to receive your rebate(s).

Date of service: __________________________ Dealership: ________________________________________________________________________

Name: ___________________________________________________________________________________________________________________________

Address: ________________________________________________________________________________________________________________________

City: _____________________________________________________________________________ State: ___________ ZIP: ______________________

Phone number: _________________________________________________________________________________________________________________

Ford Service Credit Card account number: XXXX XXXX XXXX

Vehicle Identification Number: ________________________________________________________________________________________________

Email address (optional):** ___________________________________________________________________________________________________

Please choose how you wish to receive this rebate (check one box only):

Up to an $80 rebate by prepaid debit card

Other (specify; e.g., The Works,® tires, etc.): __________________________________________________________________________

Please print clearly: Owner Advantage Rewards member number (if applicable): _____________________________________________________________

Member number can be found on your membership card, key tag or mobile member card.

OR Apply to Owner Advantage Rewards account Rebates deposited to an active Owner Advantage Rewards account will expire 12 months from the submission deadline.