Transcription of PO # CLAIM # MFR AUTHORIZATION # ORDER # CLAIM DATE …
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Example: bachelor of science
PO # CLAIM # MFR AUTHORIZATION # ORDER # CLAIM DATE …
PO # CLAIM #MFR AUTHORIZATION #For Assistance, call (800) 490-4901, (AZ, CA, NV) call (800) 655-8851 CLAIM DATEDEALER USAF ACCT #DISTRIBUTOR INFORMATION DEALER INFORMATION CONSUMER INFORMATIONNAME AutoForce NAME NAMEADDRESS ADDRESS ADDRESSCITY/STATE/ZIP CITY/STATE/ZIP CITY/STATE/ZIPPHONE#(800) 490-4901 TELEPHONE TELEPHONEPHONE# AZ, CA, NV(800) 655-8851 EMAIL ADDRESS EMAIL ADDRESSVEHICLE INFORMATION RETURNING TIRE INFORMATION REPLACEMENT TIRE INFORMATIONVIN TIRE INSTALLATION DATE PRODUCT #YEAR TIRE REPLACEMENT DATE BRANDMAKE TIRE INSTALLATION MILEAGE DESCRIPTIONMODEL TIRE REPLACEMENT MILEAGE SIZEOE TIRES YES / NO ACTUAL MILEAGE RETAIL PRICETIRE 1: Brand:_____, Product #:_____, Size:_____, Description:_____DOT NUMBER WHEEL POSITION TREAD DEPTH - INSIDEDEFECT TYPE $ CHARGE TO CONSUMER TREAD DEPTH - MIDDLESUB-REASON % CHARGE TO CONSUMER TREAD DEPTH - OUTSIDETIRE 2: Brand:_____, Product #:_____, Size:_____, Description:_____DOT NUMBER WHEEL POSITION TREAD DEPTH - INSIDEDEFECT TYPE $ CHARGE TO CONSUMER TREAD DE
800-225-4714 Kenda 800-445-8646 Kumho 888-971-3783 Michelin/Uniroyal/BF Goodrich 800-529-8200 Nitto 800-565-2525 Nokian 800-747-3554 Pirelli 866-822-4968 TBC 800-442-8696 Toyo 800-722-9888 Yokohama. Author: Krueger, Maria Created Date:
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