Falken Tyre 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(Required)

Current Rim Size(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.