Mirage Tires :: Tire Registration

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Tire Registration Form
Dear valued customer, It is important that you promptly register your Mirage brand tires after purchase. This will enable us to contact you in the event of a tire recall. Mirage Tires respects your privacy and will not use this information to contact you for any reason other than in the event of a tire recall.If you have already submitted a tire registration but wish to inform us of changes to your contact information, please resubmit this form with your updated information.

A) Your Contact Information
Date of Purchase:	First Name:	Last Name:
Address:		City:
Province:	Postal Code:	Email:
B) Your Tire Information
Tire Size Example: 245/70R16	Tire Line Example: MR-HT172	The DOT code is the serial code located in the lower sidewall after the word "DOT". The complete DOT code typically contains a group of up to 13 characters (letters and numbers). In the photo below, the DOT code is RYEE HFHB 3618 – Important: The last four digits indicate the week and year of manufacture. For example, week 36, year 2018.
DOT Code:	Quantity:








C) Dealer Information
Dealer Name:	Address:	City:
Province:	Postal Code:


Mirage Tires

Tire Registration Form