FALKEN TIRE DOT REGISTRATION FORM


* Falken Tire respects your Privacy. This data will only be used for recall purposes. We will not contact you, nor resell any personal information.


Customer Information
First Name Last Name
Address 1
Address 2
City State Zip
 
Dealer Information
Dealer Name
Address 1
Address 2
City State Zip


Date of Purchase MM/DD/YY  
Dot # The serial number is
located on one side of Tire
following the word DOT

Dot #
Dot #
Dot #
Dot #
Dot #


* This is not a Warranty Registration.