Maxxis Tyres Maxcoverage Warranty Registration Form

MAXCOVERAGE REGISTRATION

IMPORTANT NOTICE: To be eligible for the Maxxis Maxcoverage Warranty, you need to purchase at least 4 Maxxis tyres and register them within 14 days of purchasing your tyres.

Please note that ALL tyres purchased (shown on your invoice) need to be registered.

Click HERE to view the Maxxis Maxcoverage Warranty terms and conditions.

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Fleet
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Dealer
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Fleet Name
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Dealer Acc
Maxcoverage Registration for
You’re about to register for Maxcoverage on behalf of a consumer. Please note that this registration will be charged out at $10 per tyre (inc. GST) for Passenger and SUV tyres, and $15 per tyre (inc. GST) for 4x4 tyres. This will be charged to your Tyremax debtor account, and included in your monthly billing statement for payment at the end of the month, subject to your standard account terms. Please check the box below to confirm your agreement.
Dealer Agreement*
- I agree
Warranty ID
1. PURCHASE DETAILS
Tyremax Invoice Number Reference*
Upload a copy of your tax invoice*
Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 256 MB.
Please upload a PDF, JPEG, GIF or PNG
Store of purchase*
2. PERSONAL DETAILS
First Name*
Surname*
What State do you live in?*
State
Mobile Number*
Email*
3. VEHICLE DETAILS
Car Make*
Car Model*
Car Year*
Car Registration*
*No spaces or dashes
How many Maxxis tyres did you purchase?
How many Maxxis Tyres Were Purchased?
Staggered Fitment
Staggered fitment: Your tyres are different sizes on the front & rear.
- Tick for staggered fitment
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Tyre Pattern
*Pattern must match pattern on invoice.
FRONT TYRES
Tyre Size - Width*
Tyre Size - Ratio*
Tyre Size - Diameter*
Select your Tyre Pattern*
*Pattern must match pattern on invoice.
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Tyre Size
REAR TYRES
Tyre Size - Width (rear)*
Tyre Size - Ratio (rear)*
Tyre Size - Diameter (rear)*
Select your Tyre Pattern (rear)
*Pattern must match pattern on invoice.
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Tyre Size (rear)
4. TERMS & PAYMENT
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.
MaxCoverage Registration Fee
*All prices are Including GST.
$ 0.00
Promo Code?
Credit Card*
Card Details
Cardholder Name
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Date sent to NRMA
DD slash MM slash YYYY
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Account Number
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Rejection Reason
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Warranty Status
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Additional documents
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB.
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Comments
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Invoice Other

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