Warranty Registration

Please fill in your details to register EVOLUXX

    Personal Information

    First Name *

    Surname *

    Date of birth *

    Gender ​* ​

    Mobile Phone *
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    Email
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    Address *
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    District * ​

    Area * ​

    Province *
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    Postal Code *
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    Car Information

    License Plate *

    Car Brand *

    Car Model *

    Car Model *

    Car Model *

    Car Model *

    Car Model *

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    Car Model *

    Car Model *

    Purchase Information

    Date of purchase *

    Mileage from date of purchase (km.)*

    Tire Shop Name *

    Province*

    Tire Model (Pattern) *

    Quantity*

    Tire Size

    Width (mm.) *

    Ratio of Height (%) *

    Rim *

    Receipt Upload * (File not over 5 MB)

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    Production Week

    Serial Number

    Production Week(DOT) *

    Serial Number *

    Tire No.1

    Tire No.1

    Tire No.2

    Tire No.1

    Tire No.2

    Tire No.3

    Tire No.1

    Tire No.2

    Tire No.3

    Tire No.4