TSP Registration

TSP ORDER/REDEMPTION

STEP ONE COMPANY/CONTACT INFORMATION
Company Name: Date Submitted: 05/23/2013
Primary Contact:
Address Line 1:
Address Line 2:
City: State: Zip:
Phone:	Fax:
E-Mail Address:

STEP TWO REDEMPTION WORKSHEET
PRODUCT	SAVE	QUANTITY TOTAL	REDEEMABLE POINTS	TOTAL POINTS
Dayco Top Cog V-Belt	Sleeve		x 15	0
Dayco FHP or GPL V-Belt	Sleeve		x 15	0
Dayco Radiator Hose	Plastic T-Strap		x 15	0
Dayco Timing Belt Water Pump Kit	Box Top Part Number		x 250	0
Dayco Hydraulic Timing Belt Actuator	Box Top Part Number		x 50	0
Dayco Idler/Tensioner Pulleys	Box Top Part Number		x 30	0
Dayco Timing Belt	Part Number End Tab		x 30	0
Dayco Poly Rib Belt	Sleeve		x 50	0
Dayco ATV and Snowmobile Belt	Sleeve		x 75	0
Dayco Automatic Belt Tensioner	Part Number End Tab		x 120	0
Dayco Timing Belt Kit	Box Top Part Number		x 150	0
Dayco Timing Belt Component Kit	Part Number End Tab		x 150	0
TOTAL:				0

STEP THREE ORDER INFORMATION Note: Shipping and handling is included in point totals
Part No.	Description	Points Per Item	Quantity	Total Points
047254	Snap-On Gift Card	$25 = 2700 $50 = 5200 $100 = 10,200		0
047256	MAC Tools Gift Card	$25 = 2700 $50 = 5200 $100 = 10,200		0
046002	Bass Pro Shop Gift Card	$25 = 2700 $50 = 5200 $100 = 10,200		0
046000	The Home Depot Gift Card	$25 = 2700 $50 = 5200 $100 = 10,200		0
046001	Lowes Gift Card	$25 = 2700 $50 = 5200 $100 = 10,200		0
046003	Cabela's Gift Card	$25 = 2700 $50 = 5200 $100 = 10,200		0
047374	Walmart Gift Card	$25 = 2700 $50 = 5200 $100 = 10,200		0
047375	iTunes Gift Card	$25 = 2700 $50 = 5200 $100 = 10,200		0
047251	Pocketed Silk Touch Golf Shirt	SM - XL = 2100 2XL = 2250 3XL = 2600 4XL = 3280		0
047249	Performance Jacquard Polo	SM - XL = 2300 2XL = 2550 3XL = 2800 4XL = 3280		0
047248	Microfiber Jacket	SM - XL = 4700 2XL = 4900 3XL = 5300 4XL = 5480		0
046013	Dayco Hat	750		0
046014	Dayco No Slack Hat	750		0
ORDER TOTAL:				0
REDEMPTION TOTAL (from above):				0
Comments:

IMPORTANT: REDEMPTION TOTAL MUST BE EQUAL TO OR GREATER THAN THE ORDER TOTAL. EXTRA POINTS CANNOT BE CARRIED OVER AND MONEY CANNOT BE COMBINED WITH POINTS TO COMPLETE AN ORDER. BY CLICKING ON THE "SUBMIT FORM" BUTTON YOU ARE AGREEING TO THESE TERMS.