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 1 (one) year from date reflected on your purchase invoice and you will receive a 50% credit. Should you elect to #TopUp your FREE TyreSurance®, your benefit period will be extended from 1 year to 2 (two) years and your credit will be doubled from 50% to 100%.

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