Editor Tire Evaluation Form

	Please fill out the form below to receive either Continental or General brand tires for evaluation. All applications will be reviewed by Continental before tires are shipped. Qualifying applicants will be notified of verification and shipment. Read our Sponsorship Policy: click here
	General Information		Editors who prefer to download this form can do so here: Product Request Form > Please fill out form and mail or fax to: Continental Tire 1830 MacMillan Park Drive Fort Mill, SC 29707 Fax: 704-583-3939
	Date:
	Name:
	Magazine Company:
	Address:
	City:
	State:		General Information
	Zipcode:		Time period of the promotion/sponsorship:
	Enter shipping address if different from above:		Start Date:
			End Date:
			Planned Editorial:
	Phone:
	Cell:
	Email:
	Vehicle Information
	Year:		Events, Shows & Exhibits Scheduled. Please include booth number for SEMA or other trade shows:
	Make:
	Model:
	Colors:
	Owner:
	Current Tire Brand:
	Model Requested:
	Size Requested:
	NOTE: Your evaluation request will reach us only if you type in the word "tire" into the box provided below. This simple process eliminates spam email and allows us to respond much faster to your request. We thank you for your help. Access code: