CONTACT AND VEHICLE INFORMATION
Name*
Daytime Phone
Other Phone
FAX
E-mail*
Vehicle Year
Manufacturer
Model
License Plate called tag on Hogan Preferred Customer postcards
How would you like your quote delivered	E-mail  Phone  Fax
Use the optional Quick Quote area when providing the item numbers from our Tire Catalog or skip to the next section and let an associate make a recommendation for you.
Tire Item Numbers to Quote Please limit to 5 items.
Quantity	0 1 2 3 4 5 6
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TIRE QUOTE INFORMATION complete only when requesting a tire quote. (item numbers not required)
Tire Size	How to read a tire size.
Speed Rating Preference (speed rated tires only)	Retain original equipment speed rating (recommended) No preference Would consider a higher speed rated replacement tire Would consider a lower speed rated replacement tire
Load Index Preference (LT-truck sizes only)	Retain original equipment load index    (recommended) No preference Would consider a higher load replacement tire
What's a speed rating or load index?  Try our tire terminology page.
Sidewall	No Preference Whitewall Blackwall Raised White Letter
Brand Preference hold down "Ctrl" for multiple selections	No Preference Michelin Bridgestone BF Goodrich Uniroyal Firestone Fuzion Dayton Goodyear Dunlop Continental General Pirelli Economy Other - see comments
Quantity	0 1 2 3 4 5 6
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WINTER TIRE & WHEEL PACKAGE  Yes.  Include a winter wheel option with my winter tire quote. A winter tire & wheel package will protect your regular wheels from winters harsh conditions as well as eliminate the time and expense normally required for changeovers each season.
AUTO SERVICE QUOTE INFORMATION complete only when requesting an auto service quote.
Select Service(s) to quote   Oil Change, Fluids & Air Pressure Transmission Fluid Power Flush Ride Control or Steering, see comments   Wheel Alignment Cooling System Power Flush Belts or Hoses, see comments   Brake Service Air Conditioning Recharge Exhaust System Service   Battery Replacement Fuel Intake System Cleaning Other, see comments Service Interval(s)  3,000  6,000  15,000  30,000  45,000  60,000
COMMENTS
Comments, questions or details
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