Warranty

Section #1: Customer Information
Section #2: Vehicle Information
Vehicle Type (check one) p Motorcycle p ATV p Scooter
Year / Make / Model __________________________________________________________________________
OEM tire information (manufacturer, tread,
and sizes that came stock on the vehicle) _________________________________________________________
OEM wheel information (sizes including width)_____________________________________________________
What tire pressures do you maintain for your front and rear tires? _________________ / ___________________
Name ______________________________________________________________________________________
Home / Mailing Address ______________________________________________________________________
City / State / Zip _____________________________________________________________________________
Telephone __________________________________________________________________________________
Email ______________________________________________________________________________________
Shipping Address (if different) __________________________________________________________________
City / State / Zip _____________________________________________________________________________
Section #3: For Street Bike and Dual Sport Bike Claims Only
Engine Size _________________________________________________________________________________
GVWR _____________________ GWF _______________________ GWR _____________________________
GVWR, GWF, and GWR information can be found on the vehicle’s VIN plate.
Rider Weight ________________________________________________________________________________
Do you ever ride with a passenger? p YES p NO
If yes, what is their weight? ____________________________________________________________________
Additional weight from accessories, saddlebags, etc ________________________________________________
Does your bike come stock with radial tires? ______________________________________________________
MOTORCYCLE WARRANTY FORM

Summary of content (2 pages)