GENUINE Stella - Page 33

TIRE
REGISTRATION
Registration
form
for
lndependent
distributors
and
dealers{ire
identification
number
IMPORTANT
ln
case
of
a recall,
we
can
reach you
only
if
we
have your
name
and
address.
Vou
fUUSi
senO
in
this
card
to
be
on
our
recall
list.
Approved
through
5_31_95
OMB
No.
2127-0050
A
SHADED
AREA
MUST
E}E
FILLED
IN
E}Y
SELLER
Do
it
today.
TIRF
lDENTtFtcATrorrr
NuvEeE
orY
I
1
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10
CUSTOMER,S
NAME
(ptease
CUSTOMER'S
EOORCSS
TY
STATE
ZIP
CODE
NAME
oF
oeelen
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