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We are pleased to offer you a choice in the way you wish to be rewarded. Simply provide us with your current contact information, create a password and select your desired reward program.

*Required Fields
Company Name:* Tires Only Account Number:*     
First Name:* Last Name:*  
Address:* City:*  
State:* Country:*  
Zip Code:*      
Mobile Number: Phone Number:  
Email:* Confirm Email:*
Create Password:*    Confirm Password:*
Promo Code:      

Please select your desired reward program:

      
Reward Program:* Reward Program Member Number:*      

Use of Your Personal Information: The information provided by you (above) and other information that may be provided by you from time to time, as well as information about your transactions and redemptions, and any information captured whenever you make a qualifying purchase is required to award and administer your Tires Only Rewards Program account and maintain the accuracy of your information. In order to administer the Program, your personal information will be transferred from Tires Only to Lift & Shift and vice versa.

Other Use of Your Personal Information: The information provided by you (above) and other information that may be provided by you from time to time may be used by us for the additional purposes of sending you marketing and promotional offers, including sales, special events and promotions. If you do not wish your information to be accessed or used for these additional purposes, you may contact our Privacy Officer in writing at the address or email address below:

Privacy Officer 
PO Box 273
West Seneca, NY 14224
Email: Privacy@lift-and-shift.com.

Terms:* By submitting this form you:

  • Certify that you are over the age of majority in the state in which you reside;
  • Consent to our collection, use and disclosure of your personal information except as you may otherwise notify us, as described in our Privacy Policy and summarized, above and 
  • Agree to the Terms and Conditions of the Tires Only Rewards Program, as they may be amended from time to time.


     I have read and agree to the Terms and Conditions and Privacy Policy and understand that by joining the Tires Only Rewards Program, I am also signing           up for the email program.