I would like to receive future communications, coupons and offers from Goodyear (and
third parties on its behalf). We respect individual privacy and value your confidence.
Learn more at www.goodyear.com/en-US/terms-conditions-privacy-policy.
YES!
X X X X X X X X
† †
Please be advised that an email address is required for checking your claim status online and receiving claim status notications.
Additional terms and conditions: Limit one (1) mail-in or online rebate per qualifying purchase, per visit. Limit one (1) rebate form per tire purchase, per
envelope. Limit four (4) rebates per individual consumer or household per promotion. Goodyear Credit Card offers are subject to credit approval. Online or
mail-in rebate offer valid with select Goodyear tire purchase made from 7/1/21 to 9/30/21. Rebates are on a set of four (4) tires. If your vehicle requires six
(6) tires, rebates are available on a prorated basis for the two additional tires. The prorated tire rebate amount, per additional tire, is 25% of the tire rebate
amount listed above. The minimum purchase is a set of four tires, and the maximum purchase is six tires per invoice. Offers available only at authorized
participating U.S. Goodyear Retailers and websites. Offer valid only for U.S. residents who are individual consumers with mailing addresses in the U.S. and
U.S. territories. Commercial vehicles and fleets are not eligible for these rebates. Not valid on previous purchases. Cannot be combined with other Goodyear
tire rebate offers. Base portion of rebate offered by Goodyear, and bonus portion of rebate offered by Citibank, N.A. The Goodyear Credit Card is issued by
Citibank, N.A. To be eligible for the bonus tire rebate, purchase must be made on the Goodyear Credit Card. Completed form must be postmarked no later
than 10/31/21. Allow 6 to 8 weeks for Visa Prepaid Card delivery/Virtual Card. Goodyear reserves the right to substitute a check of equal value in lieu of
a Visa Prepaid Card at its discretion. Fraudulent submissions will not be honored and may be prosecuted. Sponsor is not responsible for noncomplying
rebate submissions or for lost, late, illegible, postage-due or undeliverable mail. Noncomplying rebate submissions will not be honored, acknowledged or
returned. Void where taxed, restricted or prohibited by law. All decisions made by Goodyear (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. Retain copies of the materials you submit.
By responding to this offer, you will be disclosing all the information requested on this form to a fulfillment company affiliated with Goodyear for
processing the rebate. The fulfillment company uses this information to process and fulfill your rebate claim. To view the Goodyear privacy policy, go
to https://www.goodyear.com/en-US/terms-conditions-privacy-policy.
Rebate paid in the form of a Visa Prepaid Card or Virtual Card. Prepaid Card/Virtual Card is issued by MetaBank
®
,
N.A., Member FDIC, pursuant to a license from Visa U.S.A. Inc. No cash access or recurring payments. Prepaid Card
can be used everywhere Visa debit cards are accepted. Virtual Card can be used everywhere Visa debit cards are
accepted online, or for phone/mail orders. Prepaid Card/Virtual Card valid for up to 6 months; unused funds will
forfeit after the valid thru date. Prepaid card terms and conditions apply. MetaBank does not endorse or sponsor
the Goodyear Credit Card offer.
©2021 The Goodyear Tire & Rubber Company. All rights reserved.
Mail your completed rebate form, along with your original sales receipt, in an envelope to the
following address: Goodyear Offer 210004, PO Box 130020, El Paso, TX 88513
Submissions must be postmarked or submitted online by 10/31/21. Invoice must have eligible tire name
and proof of purchase on the Goodyear Credit Card (when applicable) clearly indicated. Online purchases
must include copy of the online purchase invoice and the installation invoice from authorized Goodyear
Retailer. Work orders not accepted. Allow 6 to 8 weeks for Goodyear Visa Prepaid Card/Virtual Card delivery.
– OR – SUBMIT YOUR CLAIM BY MAIL
For additional questions or to check the status of your rebate, you may visit
www.Goodyear.com/rebates, email GoodyearPromotions@360insights.com
or call Goodyear Rebate Customer Service at 1-888-683-8724 Monday to Friday
between the hours of 9 a.m. – 9 p.m. ET and 9 a.m. – 5 p.m. ET on Saturday.
IMPORTANT: We suggest you keep a copy of your completed rebate form for reference.
Must be submitted by 10/31/21. Work orders will not be accepted.
For new cardholders only: If you have
recently applied for the Goodyear
Credit Card and are approved, you will
receive your Goodyear Credit Card by
mail within 7–10 days of approval.
REQUIRED FOR BONUS REBATE
Enter the rst 4 and last 4 digits of your Goodyear Credit Card below to receive
your bonus rebate. Required for Goodyear Credit Card purchases only.
To receive the bonus rebate amount, purchase must be made with the
Goodyear Credit Card.
SUBMIT ONLINE AND GET YOUR REBATE FASTER
Visit Goodyear.com/rebates
BEFORE YOU SUBMIT YOUR CLAIM
Please ensure that you have a copy of your
original sales receipt or invoice, which shows:
Customer name
Tire product purchased
Date the tires were purchased
Name and address of the store where
the tires were purchased
Last 4 digits of Goodyear Credit Card,
if purchased on a Goodyear Credit Card
AFTER YOUR CLAIM IS SUBMITTED
1. Processing updates will be sent to your
email address.
2. To check the status of your claim, visit
Goodyear.com/rebates.
3. Once your claim is approved, you will
receive your rebate.
21NPP3_RebateForm_GYCC 210004_GYCOM_NPP3
Above rebates are on a set of four tires. If your vehicle requires six tires, rebates are available on a prorated basis for the two additional tires. The prorated rebate amount, per additional tire, is 25% of the rebate amount listed above.
The minimum purchase is a set of four tires and the maximum purchase is six tires per invoice. Please specify quantity below.
$
25
$
25
$
50
Assurance MaxLife®
Eagle® Sport All-Season Family (including ROF & SCT)
$
50
$
50
$
100
NEW Assurance ComfortDrive
Eagle® F1 Asymmetric Family (including ROF & SCT; excluding Asymmetric A/S)
Wrangler® Workhorse® AT
$
75
$
75
$
150
Assurance WeatherReady®
Eagle® F1 SuperCar Family (including SCT)
TOTAL COMBINED
REBATE
BONUS REBATE
WITH GOODYEAR
CREDIT CARD
BASE REBATE
AMOUNT
GET A GOODYEAR VISA PREPAID CARD OR VIRTUAL CARD BY ONLINE OR MAIL-IN REBATE ON A PURCHASE
OF A SET OF 4 SELECT GOODYEAR TIRES
By online or mail-in rebate and paid
by Goodyear Visa
®
Prepaid Card or
Virtual Card on purchases made
7/1 through 9/30/2021.
ON A SET OF 4 SELECT GOODYEAR
®
TIRES WHEN YOU USE THE GOODYEAR CREDIT CARD
$
150 BACK
GET UP TO
REBATE OFFER 210004
TIRE REBATE REDEMPTION FORM
To avoid delays, information must be completed below to receive rebate.
FILL OUT THIS INFORMATION:
The name and address you enter below MUST match the information on the invoice.
FIRST NAME:
LAST NAME:
HOME ADDRESS:
EMAIL (OPTIONAL):
† †
PHONE:STATE: ZIP CODE:
VEHICLE YEAR:VEHICLE MAKE:
VEHICLE MODEL:TIRE SIZE:
/ /
INVOICE DATE (MM/DD/YYYY): QUANTITY:INVOICE NUMBER:
AUTHORIZED STORE #/NON-SIG/WEBSITE:
APT/SUITE: CITY: