RFT Sauber Jacket application form

Please read carefully before submitting application to avoid delays in receiving your reward:

Your purchase must be made between 1st November 2009 and 30^th June 2010 to be eligible.
Offer is only valid on Bridgestone Run Flat Tyres.
After purchasing your tyres, use this online form to claim your reward before July 16, 2010 or while stocks last.
Please allow 4 weeks for reward delivery.
Fill in the form in order of appearance. Press 'Submit' to send form electronically. Then print a copy and either post or email with your store receipt (tax invoice) by 30^th July 2010 to:

Arrive in style offer
G.P.O. Box 2200
Adelaide SA 5001

To email a copy your claim or for any queries, please send to promotions@bridgestone.com.au

The fields marked * are mandatory.

Title *
First Name *
Last Name *
Address *
Suburb *
State *
Postcode *
Email Address *
Phone Number *
Purchase Information
Date Of Purchase * (dd-mm-yyyy)	/ /
Store State *
Store Location *
Store Receipt (Tax Invoice) Number *
Product Purchased *
How did you hear about this promotion *
Jacket Selection	Click here to view jackets

Would you like to receive future promotions by Bridgestone Australia Ltd. and promoters engaged by Bridgestone Australia Ltd.? * YesNo
I am aware that I must post in my receipt to receive this offer.*
Agree to Terms and Conditions * YesNo