Order and Information Form
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Contact Info Name: City: State: Zip: Area Code: Phone: Email Address: Vehicle Year: Vehicle Make: Vehicle Model:
Tires Tire Size (if known): Which Vredestein Make interests you? . Comtrac Comtrac Winter Quatrac 3 Snowtrac 3 Sportrac 3 Ultrac Sessanta Wintrac Xtreme Wintrac 4 Xtreme Other If other, which?
Which Nokian Make interests you? . Hakkapeliitta R Hakkapeliitta 5 WR G2 WR G2 SUV Nokian H Nokian i3 If other, which?
Which Multi-Mile Make interests you? . Mirada Sport GTX Grand Tour SLi Grand Am Radial G/TS Sceptor G/P 326R Broadway Classic Solar HP430 Arctic Claw TXi Sonar Other If other, which? For Tire Pricing Please Call Us At 800-576-1009
Wheels Wheel size (if known): . 12" 13" 14" 15" 16" 17" 18" 19" 20" 21" 22" 23" 24" 26" 28" Other Bolt Pattern (if known): Which American Racing Make interests you? . Aero (Chrome) Aero Atlas (Chrome) Atlas Avenger (Chrome) Avenger Baja (Chrome) Baja Breaker (Chrome) Breaker Burst (Chrome) Casino (Chrome) Casino (Diamondcut) Dale Earnhart Jr Series Estrella Fusion Hype Kahuna Matrix Maxim Mojave (Chrome) Mojave (Polished) Mojave (Teflon) Newport Nitro (Chrome) Nitro Palmetto Prism Python (Chrome) Python Rebel Rocker Royale Silver Vanguard Sniper (Chrome) Sniper Torq-Thrust II Torq-Thrust D Torq Thrust ST Type SR Ventura Ventura (Chrome) Vanguard Wolverine Other If other, which?
Which Motegi Racing Wheel make interests you? . DP1 DP6 DP12 DP20 DV5 FF7 SP5 SP7 SP10 SX5 SX7 US7 TRAKLITE 1.0 TRAKLITE 2.0 Touge Other If other, which?
Are you interested in a Tire/Wheel package? Yes No
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