Free TyreSurance^® Registration

To register your tyre/s for Free TyreSurance, please complete the form below and proceed.

This form must be submitted within 30 days from date of purchase (as indicated on your invoice).

Once you’ve registered, your TyreSurance is valid for 2 years from date of purchase. The amount of credit you’ll receive will be determined by how much time has passed since you purchased your tyre/s.

Province *

Hi-Q Branch *

Date of Purchase *

Invoice Number * If you have purchased more than one make or size of tyre/s on one invoice, you will need to complete a new registration for each tyre make or tyre size. You may only complete one free TyreSurance registration against the same invoice number and car registration combination.

Make of Tyres *

Model of Tyres *

Tyres *

Tyre 1 - Batch Number* Clients not disclosing correct batch number when registering will lead to rejection of the replacement benefit

Title *

First Name *

Surname *

ID Number

Communication Preference *
SMS Email

Cell Number

Email Address *

Registration Number *

Vehicle Make *

Odometer Reading *

VIN Number

I would like to receive further email/SMS communications regarding Hi-Q

I have read and accept the Terms & Conditions

Free TyreSurance® Registration

Free TyreSurance^® Registration