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The primary logo for Alloy Wheel Repair Specialists

Discount Tire Request

Please enter the following information for wheel repair services. For questions, please call AWRS Claims at (877) 743-2977.

    DT STORE # *

    PO # *

    CUSTOMER NAME:

    DT STORE CONTACT #

    Area Code

    Phone Number

    VEHICLE YEAR, MAKE, & MODEL *

    WHEEL SIZE

    WHEEL TYPE *

    WHEEL LOCATION & REPAIR TYPE

    Please select the wheel location and repair type for each wheel or not applicable.*

    LF

    RF

    LR

    RR

    LOOSE WHEEL

    COMMENT

    List any additional information relevant to the repair.

    IMAGE UPLOAD *

    Less than 5 MB please, Image is not required