Warranty

CUSTOMER’S NAME (Please Print)
E-MAIL ADDRESS
DATE OF PURCHASE
CUSTOMER’S ADDRESS
CITY STATE/PROVINCE ZIP/Postal Code
NAME OF DEALER WHICH SOLD TIRE
DEALER’S ADDRESS
CITY STATE/PROVINCE ZIP/Postal Code
TIRE IDENTIFICATION NUMBERS
QTY.
1 2 3 4 5 6 7 8 9
10 11
SHADED AREAS MUST
BE FILLED IN BY SELLER
IMPORTANT:
In case of recall,
we can reach you
only if we have
your name and
address. You MUST
send in this card
or register at
www.us.coopertire.com
to be on our recall list.
26
OMB No. 2127-0050
IMPORTANT
In case of a recall, we can reach you only if we
have your name and address. You MUST send in
this card to be on our recall list.
Do it today.
Instead of mailing this form, you can
register online at
www.us.coopertire.com