ATLAS SIGNBOARD REQUEST

    Tire shop information

    Shop name *

    Distributor name *

    Product type *

    Request type *

    Address *

    District *

    Area *

    Province *
    ​

    Postal Code *

    Shop owner information

    Shop owner name *

    Shop owner surname*

    Mobile Phone *

    Shop Telephone*

    Purchase History

    Purchases of the last 3 months

    Purchase amount after the 1st month :

    Amount

    Purchase amount after the 2nd month :

    Amount

    Purchase amount after the 3rd month :

    Amount

    Proportion of sales of tires in the store (%)

    Michelin

    Bridgestone

    Dunlop

    Goodyear

    Firestone

    Maxxis

    Leao

    Atlas

    Deestone

    Otani

    Yokohama

    BFGoodrich

    Dayton

    Pirelli

    Continental

    Hankook

    Westlake

    Apollo

    Toyo

    Giti

    Nitto

    Goodride

    อื่นๆ

    Storefront Photo * (Not over 5 photo)