fmtsiONt Rear Farm Tut Giveaway - Official tntry Form Return this completed form to your local participating Firestone farm tire dealer or mail it to: Firestone Rear Farm Tire Getaway, 2633 Fleur Drive, Des Moines, IA 50321 Name Address (No PO Boxes Please) Phone ( Farm Tire Brand(s) Used (duck all that apply) Signature denotes acceptance of the Official Roles Please r«ad before signing Q Firestone D Goody63f D TfIUtUS mature Name of Preferred Farm Tin CiraciAna Doar Cahm T] rQ Pi ■ lac age on a plain 3 x 5 piece of paper and mail it to Fnestone Rear Farm Tire Giveaway Attn alternate winner will be selected Any Federal state and local taxes are the sole responsibility o nitfailwllC? I'vOl ■ 0111 l I lIV VJIVCOWCiy (\UIO9 MindyCowme 2633 Fleur Drive Des Moines 1A50321 Entries must be received by April 30 the winners Approximate retail value of eech pair of the Firestone rear ferm tires 4400- No purchase necessary Entrants must be 18 years or older 1997 Winners will be selected in a random drawing to be held on or about June 1 1997 from $2 800 Actual retail value varies by tire design and size For the names of the prize winners „ _ . .... „ _ all eligible entries received Official Entry Form must be filled out completely to be eligible send a seif addressed stamped envelope by June 1 1997 to Firestone Rear Perm Tire .. Prizes Eighteen (18) pairs of Firestone rear farm tires* One pair per winner v ' , 7 * , Giveaway Winner* Attn Mindv Cownie 2633 Fleur Drive Dea Moines IA 50321 Reouests w ll . , . ... - . „ . -, . _ ww| q• • 2 The odds of winning depend on the number of eligible entries received Prizes are guaranteed i? t *1! A . ™ ina X'- owni * neur unve ues Moines «eque» ma Xf do< ?* *“2 th~ eligibl. Fir Mon. rear farm tire d»gns All Traction 23; Redial , 0 ,wa,d.d No substitution rafund or transfer of proas is parmitt.d S.l.ct.on of the *>• ,ulflllad ahar tha cont “' anda b 9., ¥ TI ?l on sriE5 ri E ”1 Traction 23 Champion Spade Grip winners vie a random drawing will ba under the supervision of ;he Firestone Agricultural Tire 4 Contest is open to anyone who is 18 or older except employees of the Firestone Agricultural Radial All Traction FWD Super All Traction FWD Traction Raid & Road and Field « Road Company (a division of Bndgestone/Firestone Inc ) whose decisions are final Each wmnar will Tire Company Bndgestone/Firestone InC or its affiliates Firestone farm tira daalerships thttf 1 To enter and be eligible for prizes complete the Official Entry Form (available et participating be notified by mail or telephone advertising and oromotional aganciet and tha immadiat# families of each Void where pronib- Firestone farm t.r. outl.ts) and d.poslt it with or mail it to your naaiast participating Firestone 3 p„ z , wlnn „, w m b , ob | i9 ,„ d to , lg „ Affidavit of Eligibility Publicity Ral.au and R.la.sa of l,ad b > law AH fadaral, stata and local laws and ragulatlons apply farm lira ratailar or neatly print or type your name address ZIP cod. phone number and Liability in form and substance satisfactory to Firaston. within 30 days of notification or an * State Dealership Location Last Visit to a Firestone Why Do You Prefer This Dealership’ (Check all that apply) Farm Tire Dealership (Month/Year) □ Convenience □ Personnel □ Product Quality □ Location □ Price □ Other □ Service □ Kleber □ Titan □ Kelly 1916 W. Main St. Mount Joy, PA Inside PA: 800-222-1729 Outside PA: SOO-638-3054 THE leader in the field Last Farm Tire Purchase (Month/Yeer) (City/State) Number of Tractors Owned Number of 120+ HP Tractors Owned Number of Combines Owned □ Other Number of Farm Tires Purchased Annually Hurry! Contest Ends April 80, 1997. “Firestone Interest in Farming (Check one) □ Operate Farm or Ranch □ Landlord of Farm or Ranch □ Professional Farm Manager/Consultant □ Occupation Related to Farming Crops/Acres Planted Barley Cotton _ Soybeans Milo Corn Tobacco Sugar - Oats _ Wheat Rice _ Other. TOTAL: