Digitire – Warranty Form

Company / Client Name

Email

Phone

Cellphone

City

Zip Code

Apartment, suite, etc.

State

Vehicle Information

Vehicle Type

Brand

Model

Year of manufacture

Current Mileage

Most frequent use

Wheels:

Original

Others

Order Information

Order Date

Invoice Number

Files allowed: pdf, png, jpg, jpeg, gif e bmp

Invoice Order

Tires

How many tires do you want claim?