Outline for New Manufacturer Information - NHTSA
Outline for New Manufacturer Information - NHTSA
Outline for New Manufacturer Information - NHTSA
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Appendix 10 – Sample Tire Registration Form – Independent Distributors and Dealers<br />
IMPORTANT<br />
In case of a recall, we can reach you only if we have<br />
your name and address. You MUST send in this<br />
card to be on our recall list.<br />
SHADED AREAS MUST<br />
Do it today. BE FILLED IN BY SELLER<br />
CUSTOMER’S NAME (Please Print)<br />
CUSTOMER’S Address<br />
CITY STATE ZIP CODE<br />
NAME OF DEALER WHICH SOLD TIRE<br />
DEALER’S ADDRESS<br />
CITY STATE ZIP CODE<br />
QTY TIRE IDENTIFICATION NUMBERS<br />
║ ║ ║ ║ ║ ║ ║ ║ ║ ║ ║ ║<br />
║ ║ ║ ║ ║ ║ ║ ║ ║ ║ ║ ║<br />
║ ║ ║ ║ ║ ║ ║ ║ ║ ║ ║ ║<br />
║ ║ ║ ║ ║ ║ ║ ║ ║ ║ ║ ║<br />
║ ║ ║ ║ ║ ║ ║ ║ ║ ║ ║ ║<br />
║ ║ ║ ║ ║ ║ ║ ║ ║ ║ ║ ║<br />
62