Falken Test Candidates - Falken Tyres Australia

Store/Business Name(Required)

Relationship to Store(Required)

Drivers Name(Required)

Drivers Mobile Phone Number(Required)

Email Address:(Required)

State(Required)

Vehicle Make(Required)

Vehicle Model(Required)

Vehicle Year(Required)

Placard Tyre Size(Required)

Placard Load Rating(Required)

Placard Rim Width(Required)

Current odometer(Required)

Current Tyre Size / Brand / Pattern(Required)

Current Rim Width(Required)

(if not original equipment)

Registration Number(Required)

Average distance (km) travelled:(Required)

Yearly/Monthly/Weekly(Required)

Do you have any plans on selling your vehicle in the next 12 months?:(Required)

Yes

What is the percentage driven Off Road?(Required)

Does your vehicle consistently tow?(Required)

Yes

What is your gross vehicle weight (GVM)?

Availability for vehicle to be inspected by a SRAU staff member:(Required)

Are you willing to provide feedback on performance & handling via a survey:(Required)

Are you happy for SRAU staff to take pictures of the tyres that may include vehicle:(Required)

· Only legal fitments are considered.

· Contact details of driver will only be used for inspection purpose.