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