MAXCOVERAGE REGISTRATION Is Admin Logged in?Warranty IDIMPORTANT NOTICE: To be eligible for the Maxxis Maxcoverage Warranty, you need to purchase at least 2 Maxxis tyres and register them within 14 days of purchasing your tyres.Click HERE to view the Maxxis Maxcoverage Warranty terms and conditions.1. PURCHASE DETAILSUpload a copy of your tax invoice*Accepted file types: jpg, gif, png, pdf, jpeg.Please upload a PDF, JPEG, GIF or PNGStore of purchase*2. PERSONAL DETAILSFirst Name*Surname*Postal Address* Street Address Address Line 2 City State Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Mobile Number*Email* 3. VEHICLE DETAILSCar Make*Car Model*Car Year*202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960OTHERCar Registration (*no spaces or dashes)*Tyre Pattern*AT700AT771AT811AT980BuckshotCR966CS735HP5HP600HPM3HT750HT760HT770M35M36M36+M8060MA1MA1 WWMA268MA299MA307MA307BMA510MA511MA589MA656MA751MAP1MAP2MAP3MAS1MAZ4SMCV3+MD860MS800MT212MT753MT762MT764MT772PRO R1S PROUA603UE100UE101UE102UE168UL387UM816UM968UN999UR200UR275UR279UR288VS01VS5*Pattern must match pattern on invoice.Tyre Size*Terms & Conditions and Privacy* I have read and agree with the Terms & Conditions and Privacy Policy.Click HERE to view the Terms and Conditions. Click HERE to view our Privacy Policy.How many Maxxis tyres did you purchase?*Registration cost is $5 per tyre up to a maximum of $20.2 Tyres3 Tyres4 or more TyresMaxCoverage Registration Fee*All prices are Including GST. $ 0.00 Credit Card* Card Details Cardholder NameInvoice checkedYesNoSent to NRMAYesNoDate sent to NRMA Date Format: DD slash MM slash YYYY Account NumberNumber of TyresPlease enter a number from 1 to 8.Rejection ReasonWarranty StatusApprovedProcessingExpiredDeclinedWaitingAdditional documents Drop files here or Accepted file types: jpg, gif, png, pdf.