MAXCOVERAGE DEALER – REGISTER YOUR INTEREST FORM Welcome to the Maxxis Maxcoverage Program! To register your interest in becoming a Maxcoverage dealer, please fill in your details below, and we’ll be in touch with you shortly. Store Name* Tyremax Account Number* Address* Street Address City State Postcode Best Store Contact Person* First name Last name Phone Number* Email* HiddenApproximate number of Maxxis units sold per month By selecting ‘I AGREE’ below, I agree to:*- Satisfactorily complete the Maxxis Maxcoverage training provided by Tyremax (on behalf of Maxxis Tyres Australia). - Take all reasonable actions and measures to understand everything I can about the Maxcoverage program prior to offering it in my store. - Work with the Tyremax Branch Internal Maxcoverage Warranty Assistant to resolve any Maxcoverage claims in a timely and efficient manner. I AGREE