Mail to:Certified Service Tire Rebate Offer Number 66038 PO Box 6970 Mesa, AZ 85216

1) Purchase and have installed, a new set of four (4) Qualifying Tires (listed below) at a participating Chevrolet,Buick, GMC or Cadillac dealer between September 1, 2017 and November 30, 2017.

2) Ensure you have a clean, legible copy of your Invoice/Repair Order including the dealer identification and circlethe purchase(s) and installation of the qualifying service.

3) Submit your rebate online for faster processing or via mail. To submit online: Using a computer, tablet or mobilephone, go to www.mycertifiedservicerebates.com and follow the instructions. You will be required to upload acopy of your Invoice/Repair Order. To submit via mail: Complete all information requested on this formaccurately and legibly. Mail this form, along with a copy of your Invoice/Repair Order to the address listed to theright. Submission must be postmarked by December 31, 2017.

4) To check the status of your submission, visit the “Status Lookup” section atwww.mycertifiedservicerebates.com.

(!) IMPORTANT: Photocopy your entire submission for your records. You may be required to mail or fax these photocopies.

*First Name *Last Name

*Address

*City *State *Zip Code

Email Phone

*Denotes Required Fields.Customer Information Section

*Dealership Name *Dealer Zip Code *Date of Service (MM/DD/YY)

*Invoice/Repair Order Number Vehicle VIN Number

*GM Part Number of FRONT Tires Purchased and Installed *GM Part Number of REAR Tires Purchased and Installed

This offer requires the purchase and installation of four (4) Tires in order to be eligible for a rebate. The 7 or 8 digit GM Part Number(s) from your Invoice/Repair Order must be included in the space provided above. Please fill in both Front and Rear, even if they are the same. If the Part Number(s) is not included on your Invoice/Repair Order, contact your dealer to obtain the required information.

___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

Write both FRONT and REAR Tire Part Numbers, even if the

Numbers are the same.

If you have not received your Visa prepaid card within 8 weeks after the postmark date of your qualified submission, or if you have questions about your submission, you may visit www.mycertifiedservicerebates.com or call 844-656-5369 weekdays, 7am to 11pm ET.

Offer valid for customers who have the service performed at a participating Chevrolet, Buick, GMC or Cadillac dealer located in the United States and U.S. territories. In order to receive the mail-in rebate debit card, qualifying purchases must satisfy the rebate requirements as outlined on this rebate application. Failure to comply with the rebate requirements will disqualify your rebate. This offer is available to retail customers with mailing addresses in the United States and U.S. territories. This offer is not valid on products being replaced under warranty. Fleet and Commercial customers and GM Company Vehicles are not eligible for this offer. Internal dealership sales are not eligible for this offer. This offer cannot be combined with some General Motors offers, or tire manufacturer rebates and/or specials. Limit one (1) rebate per service performed per service date and vehicle. Maximum of two (2) redemptions per address for this promotion and cannot be assigned or transferred. This offer is void where taxed, restricted or prohibited by law. General Motors and their partners are not responsible for lost, late, damaged, illegible, misdirected or postage-due submissions. Any excessive submissions, misrepresentation or fraudulent information disqualifies the rebate and may give rise to criminal or civil prosecution. All rebates shall be governed by applicable state and federal laws. All terms, conditions and rules of this program are subject to change. All submitted materials become property of General Motors and will not be returned. Rebate paid in the form of a Visa prepaid card. General Motors reserves the right to substitute a check of equal value in lieu of a Visa prepaid card at its discretion. Card is issued by MetaBank®, Member FDIC, pursuant to a license from Visa U.S.A. Inc. No cash access or recurring payments. Can be used everywhere Visa debit cards are accepted. Card valid for up to 12 months; unused funds will be forfeited at midnight ET the last day of the month of the valid thru date. Card terms and conditions apply; see MyPrepaidCenter.com/site/visa-promo. Please allow up to 8 weeks for delivery of the rebate.

As a U.S. resident, I would like to receive further communications from GM or a GM dealer. Non-U.S. residents please visit your country specific GM website and/or your local dealer for further information.

Qualifying Tire Brands

Please check which brand you purchased: BFGoodrich

Dunlop Firestone General

Michelin

Where do you normally purchase tires?

*How did you first hear about this offer?Pandora Ad

Dealership WebsiteGoogle/Internet Search

Signs Inside the Dealership Dealership Employee

Dealership Home Local Independent Service Chain Firestone NTB Pep Boys Sears Valvoline Wal-Mart Midas Other

Bridgestone Continental Goodyear Hankook Pirelli$100 Rebate:

$50 Rebate:

Program Dates: 09/01/2017 - 11/30/2017$100/$70/$50/$40 GM Certified Service Visa® Prepaid Card Tire Rebate OfferTo receive your Visa prepaid card by mail follow these conditions of acceptance:

$70 Rebate:

OtherTelevisionDirect Mailer

Uniroyal$40 Rebate: