Bicycle Warranty Claim Form

NOTE: In order to SUBMIT your claim you MUST save each section of the claim form.  If you do not see a submit button you have not saved a section.

Personal Information
A choice is mandatory
Country is mandatory
State or Province is mandatory
Street Address is mandatory No P.O. Boxes
City is mandatory
Telephone is mandatory No spaces or dashes
Email is mandatory
Please complete all of the required fields.
Add a tire
Purchase Information
A choice is mandatory
Tire Information
Model is mandatory
Defect Information
Reason for claim is mandatory
Description is mandatory
A choice is mandatory
Example Image Max 5 MB each Image is required with a file extension of jpg, png or gif.
Example Image Max 5 MB Image is required with a file extension of jpg, png or gif.
Example Image Max 5 MB Image is required with a file extension of jpg, png or gif.
Please complete all of the required fields.

IF YOU HAVE ANY QUESTIONS ABOUT HOW TO FILL OUT THIS FORM, PLEASE CALL 800-4-MAXXIS