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Firestone Questionnaire
Please completely fill out each form.
What type of vehicle were the tires on? Vehicle Sport-Utility Light Truck Full-Sized Truck Make: Model Year: What model tire did you use? Tire model ATX ATX II Wilderness AT What was the size? Tire size 15 inches 16 inches Unknown/Other How were the tires obtained? They came with the car. Where and when did you purchase the vehicle? Was the car purchased curently new or used? New Used I purchased on my own. Where and when did you purchase? At issue, did you replace the Firestone tires ? Yes No If so, what was the total cost of replacing the tires? Did you suffer hysical or propery damage as a result of the tires? Yes No If so, please provide details:
First name: Last name: Your email address: (e.g.: you@aol.com) Address City State Zip Country Phone Fax
If you prefer to give this information to an attorney directly, please call: 1-800-365-1121
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