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TIRE REGISTRATION
IMPORTANT
 

This form is to be used for the following brands:
YKS - DANZIG
DIRECTION - OTANI
PROMETER

  In case of a recall, we can reach you only if we have your name and address. You MUST complete this registation to be on our recall list.
DO IT TODAY.


2444 Morris Ave.  Ste 206
Union, NJ, 07083, USA


CUSTOMER'S NAME :

CUSTOMER'S ADDRESS:

CITY: STATE : ZIP:

TIRE SELLER (RETAIL)
 
SHADED AREAS MUST BE FILLED IN BY SELLER

NAME OF DEALER WHICH SOLD TIRE:

 DEALER'S ADDRESS: 

CITY: STATE : ZIP:

QTY

DOT TIRE REGISTRATION NUMBERS
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13

 
     
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