Address of Residence/Land Ownership (Include full street address) *
Your answer
Town/City of Residence/Land Ownership *
Your answer
Zip Code of Residence/Land Ownership *
Your answer
Email Address (Enter "NA" if you don't have access to one.) *
Your answer
Phone Number *
Your answer
Number of Large Tires (Please report total # you have. You are guaranteed space for 5 large tires. Your reminder email [sent the day before the collection] will include the total number for which space has been reserved.) *
Your answer
Approximate Sizes of Tires (e.g. 4 ft x 2 ft, 6ft x 3ft) *
Your answer
Number of Passenger and/or Semi Tires (Please report total # that you have. If we have space, we will accept business-related passenger tires as well.) *
Your answer
Way You Heard About Event *
Required
Which large tire collection(s) do you want to be contacted about attending? *
Required
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