Dreamofit Rewards
Program Verification Form

Please present this form at the time of purchase or sampling of Subaru Factory Team's partners' products or services. Once Dreamofit headquarters receives this form, a confirmation of points will be e-mailed to you and any applicable prizes will be sent via regular mail.

Name:_____________________________________________ Date: ___________________
Address:____________________________________________________________________
City/State/Zip: _______________________________________________________________
E-mail Address:_______________________________________________________________
Telephone No.:_______________________________________________________________
Age:________

Purchase Date:_______________
Product Purchased/Event Attended:_________________________________________________
VIN # or serial Number: _________________________________________________________

Dealer/Retailer/Venue:____________________________________________________________
Dealer Telephone: _______________________________________________________________

Salesperson/Contact (please print):___________________________________________________
Salesperson/Contact Signature:______________________________________________________

Final Cost to Consumer (for products purchased only):____________________________________

Where did you find out about the Dreamofit Rewards program?__________________________________
Jacket/Shirt Size?___________________
Please Check One:
Yes, I want to redeem my points now____ No, I want to accumulate more points____
If the answer is yes and you would know what prizes you want please state here:_______________________________________________

Mailto:

Endurance Enterprises
Dreamofit Rewards
201 S.Wallace #9 C1
Bozeman, MT 59715

Points must be turned in by: August 31, 2004