Product Warranty
VALIDATION AND PROOF
OF PURCHASE TAG
(attach to claim)
VALIDATION AND PROOF
OF PURCHASE TAG
(attach to claim)
VALIDATION AND PROOF
OF PURCHASE TAG
(attach to claim)
VALIDATION AND PROOF
OF PURCHASE TAG
(attach to claim)
VALIDATION AND PROOF
OF PURCHASE TAG
(attach to claim)
Tire ID#
Consumer Name
________________________________
Claim/Line#C _________________________________
Purchase Date ______________ Adj. Date _____________
Mileage On _____________ Mileage Off ______________
Mileage Received _______________________________
Tire ID#
Consumer Name
________________________________
Claim/Line#C _________________________________
Purchase Date ______________ Adj. Date _____________
Mileage On _____________ Mileage Off ______________
Mileage Received _______________________________
Tire ID#
Consumer Name
________________________________
Claim/Line#C _________________________________
Purchase Date ______________ Adj. Date _____________
Mileage On _____________ Mileage Off ______________
Mileage Received _______________________________
Tire ID#
Consumer Name
________________________________
Claim/Line#C _________________________________
Purchase Date ______________ Adj. Date _____________
Mileage On _____________ Mileage Off ______________
Mileage Received _______________________________
Tire ID#
Consumer Name
________________________________
Claim/Line#C _________________________________
Purchase Date ______________ Adj. Date _____________
Mileage On _____________ Mileage Off ______________
Mileage Received _______________________________
18
TIRE IDENTIFICATION NUMBER
TIRE IDENTIFICATION NUMBER
TIRE IDENTIFICATION NUMBER
TIRE IDENTIFICATION NUMBER
TIRE IDENTIFICATION NUMBER