Falken Wildpeak Rebate (3/16-6/20) Congratulations on your Falken WildPeak A/T Trail purchase! Fill out the form below to submit your rebate claim. Thank you for being a valued Point S Customer.Name(Required) First Last Address(Required) Street Address Address Line 2 City ALAKASAZARCACOCTDEDCFLGAGUHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDMPOHOKORPAPRRISCSDTNTXUTVIVTVAWAWVWIWYAAAEAP State ZIP Code Phone(Required)Email(Required) Future Communications I agree to receive future communicationsDate of Purchase(Required) MM slash DD slash YYYY Point S Store(Required)StateAKARCACOIAIDKSKYMAMDMEMIMOMSMTNDNENHNMNVNYOHOKORSCSDTNTXUTVTWAWYStateCityCityStoreStoreStore NumberStore Number Is this your first time to a Point S location?(Required) Yes No Upload Receipt(Required)Max. file size: 100 MB. Please upload your receipt showing the tire brand and line purchased and the purchase date. Please Confirm Your Information{Name (First):1.3} {Name (Last):1.6} {Address (Street Address):2.1}{Address (Address Line 2):2.2} {Address (City):2.3}, {Address (State / Province):2.4}, {Address (ZIP / Postal Code):2.5} Phone: {Phone:3} Email: {Email:4} Date Purchased: {Date of Purchase:8} Location of Purchase: {Point S Store:28.3} Uploaded Receipt Your rebate card will be mailed to the address you provided within four weeks of rebate submission and approval. Questions? Please contact rebates@pointstire.com
