What was your date of purchase?

Purchase Date

Where is your residence?

United States

Canada

How did you purchase the products/services?

Online Order

In-Store Purchase

What type of vehicle will these products/services be used on?

Consumer (Cars, SUVs, Minivans, Light Trucks, Motorcycles, etc.)

Commercial (Semi-trailer, Bus, Construction, Mining, Farming, Delivery, etc.)

*If your store is not listed below, please select Other at the end of the list.

Where did you purchase the products/services?

Store Number

Store

Zip Code OR City, State Postal Code OR City, Province

FIND A STORE

Where to find this information?

Don't See The Store You're Looking For? Click Here To Add Store

Name

Address

City

State Province

Postal Code

Name

Address

Phone

Select Store

What products did you purchase?

Product Category

Product Type

Description

Quantity

+ Add Another Product

Product Category

Product Type

Description

Quantity

+ Add Another Product

Upload Your Store Invoice Images

To validate your reward eligibility, you must attach at least one Store invoice for the purchase you are claiming. Images must clearly display Store Name, Final Invoice/Purchase Date, Product Description, Quantity, and Payment Method.

Files must be JPG, PDF, PNG, GIF, BMP, or TXT.
Files must be smaller than 5MB.
Credit card invoices are not accepted.

Click HERE if you are unable to create an image of your invoice

Add An Invoice Image

WARNING: Each file must be under 5MB. Please remove the file(s) listed below and upload a smaller file(s) to continue.

What is your invoice number?

Invoice Number

Where to find this information?

Please include the leading zeros when entering your store number. Store Number Location Example

Verify Store Address Information

Please review the store address below and select 'Choose' for the address you would like to use for this claim. Select 'Edit' if you'd like to change the address you entered.

Edit

It can take up to 48 hours to verify purchases, so we are unable to validate your rebate at this time. Please come back in 48 hours or click continue to provide an electronic copy of your receipt.

Leave

Continue

Please enter your shipping information

(Your prepaid card will be mailed to the address entered below.)

No PO Boxes please, all awards must be shipped to a physical street address.

Company Name

I am authorized by the owner of this business to receive a Reward Card.

Authorization to receive Reward Card is required.

Title (optional)

First Name

First Name is required. Please limit to 15 characters or less.

Last Name

Last Name is required. Please limit to 20 characters or less.

Phone Number (optional)

Phone number is required. The phone number must have 10 digits.

Email Address

Email Address is required.

Confirm Email Address

Confirm Email Address is required. Email Addresses must match.

Address Line 1

Address Line 1 is required. Please limit to 30 characters or less.

Address Line 2 (optional)

Address Line 2 is not required. If provided, please limit to 30 characters or less.

City

City is required. Please limit to 24 characters or less.

State Province

Postal Code

Postal Code is required. If submitting from the US, please enter a 5-digit (example: 12345) or 9-digit (example: 12345-6789) Zip Code. If submitting from Canada, please enter a 6-character (example: A0A 0A0) Postal Code.

Would you like to earn even more rewards? Check the box to receive new and exciting offers from

All red boxes with an X must be filled out in order to move to the next page.

Did you use your CFNA Credit Card?

Yes

Last Name on Card

Five digit zip code on Account Mailing Address

Enter last four of Card Number

Here are your eligible rewards:

- $

Eligible Purchase Period

See Details

View Details

Total Reward -
Donation -

A PayPal account is required to receive your payment via PayPal. Please ensure you have a PayPal account set up for the email address on this claim.

Reward Cards good exclusively at Firestone Complete Auto Care, Tires Plus, Hibdon Tires Plus, Michel Tires Plus, and Wheel Works.

*Card issued by The Bancorp Bank, N.A. pursuant to a license from Visa U.S.A. Inc. and may be used everywhere Visa debit cards are accepted. The Bancorp Bank, N.A.; Member FDIC. Card expires. *Card issued by Peoples Trust Company pursuant to a license from Visa Int. and may be used everywhere Visa debit cards are accepted. The Peoples Trust Company Card expires.

*Reward is subject to invoice verification.

Please enter your vehicle information

Make

Model

Year

Survey Questions

You’re ALMOST done! While this survey is optional, you MUST click the Submit button at the bottom of this page to complete your claim submission.

Please check your email or come back here in 7-10 days for a claim status update. Thank you.

Thank you for your submission

You will receive a confirmation email with your Claim ID Number within the next 24 hours.

Your Claim ID Number is:

Verify Address Information

Please review your address below and select 'Choose' for the address you would like to use for this claim. Select 'Edit' if you'd like to change the address you entered.

Edit

You are leaving the submission process!

Your submission is not complete until you click "Submit" on the last step of the submission process. If you leave now, your information will not be submitted. If you need assistance with your submission, please contact us at 800-903-9838

Donating Your Reward

If you wish to donate a portion of your reward to:

*Donation is tax deductible

**From time to time you may receive updates from Boys and Girls Clubs of America via mail and email. To stop receiving these updates or for more information about donor privacy, please visit our privacy policy

Reward Code

Name

Description

Eligible Purchase Period

Value

Terms and Conditions

Try contacting your Store to request they email you a copy of your invoice which you can then save to your device. You may also try submitting using a mobile device, like a cell phone or tablet, which will allow you to take a photo of your invoice during the submission process.

Using a mobile device:

Start a new submission from the home page by selecting Submit a Claim.
Answer all required questions.
When you select Add An Invoice Image, your device will present an option to use your camera and take a photo. Choose the camera/photo option and take a clear photo of your invoice.
You will be shown a preview of your photo. Select the appropriate option to keep the photo you are previewing or to retake your photo.
Once you have selected your photo and filled out all other fields on this page, you will be able to select Next at the bottom of this screen.

Review Your Reward

Receipt Information

Store

Store Number

Invoice Number

Store Name

Store Address 1

Store Address 2

Store City

Store State/Province

Store Postal Code

Receipt Total

Purchase Date

CFNA Card Used

CFNA Last Four

Selected Offer(s)

Selected Reward

Reward Type

Donated To

Amount

Personal Information

Title

First Name

Last Name

Address Line 1

Address Line 2

City

State/Province State Province

Postal Code

Email Address

Phone Number

Questionnaire

Product Information

Product:

Units:

Product:

Units:

Please correct errors before resubmitting

Exception Reason

Are you sure you want to donate your reward?

Yes

Was a CFNA card used for this purchase?

Yes

Cancel

Sign Up

Sign In

Email Address

Password

Password Requirements

Password

Confirm Password

Reminder: Your account will be created once your claim is submitted.

Visa® Digital Prepaid Card

Terms and Conditions