Product Warranty

Date of removal
Retailer name and signature
Mileage at removal
State
Quantity DOT NUMBERS
Zip code
ACCOUNT NUMBER DATE OF SALE
NAME OF DEALER WHICH SOLD TIRE DEALER’S ADDRESS CITY STATE ZIP CODE
TIRE REGISTRY
MICHELIN NORTH AMERICA, INC.
IMPORTANT
OMB Approved OMB Control No. 2127-0050
DO NOT MARK IN THIS AREA
CUSTOMER’S NAME (PLEASE PRINT) CUSTOMER’S ADDRESS CITY STATE ZIP CODE
QTY. TIRE IDENTIFICATION NUMBERS (DIGITS)
PRINTED IN U.S.A.
SHADED AREAS MUST BE FILLED IN BY SELLER
ALL MAST BRANDS
Do it today.
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BFGoodrich passenger and light truck replacement tires that are used in
normal service on the vehicle on which they were originally fitted are
covered as follows:
80905_FO.indd 2 7/7/16 11:48 AM