foreigntire

IMPORTANT

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

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.

2204 Morris Avenue, Suite L-5
Union, New Jersey 07083

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