QUESTIONNAIRE
Tyre Chains Order Form
Used on*:___________________________________________________
Vehicle information:
Weight of loaded vehicle*:
Motor power*:
[kg]
[kW]
Tyre information:
Tyre manufacturer1:
Profile/labeling1:________________________
Tyre dimension1:
Type:
Single
Radial
Diagonal
Double
Industrial
Superelastic
Tyre measurements1:
Minimal distance:
D = _________ mm
a = _________ mm
B = _________ mm
b = _________ mm
B1 = _________ mm
c = _________ mm
B2 = _________ mm
d = _________ mm
Contact person:
Name:
Company:
Phone:
E-mail:
1
Fill in the form with unambiguous and clear tyre information.
*Fill-in mandatory