To Register for your IMPACT REWARD$ Key Tag:

• Complete this form and click "SEND"
• Verify your information and print the completed form
• Bring the form to any Schierl Tire, The Store or participating Subway
   location and receive your Key Tag! It's that easy!

* $3.00 charge per key tag issued. Guest will receive $1.00 off his/her next purchase.

* Name:
* Address:
* City:
* State:
* Zip:
* Phone:
* Email:
Gender:
Age:
 

As an IMPACT REWARD$ member, I would you like to receive discount coupons and special offer information.

I have read and agree to the Terms and Conditions of the IMPACT REWARD$ Program.
* Required Field