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You must include your email address to proceed with your online submission for this program.

Your email address is required to communicate to you the progress and changes in status of your submission. Unless you consent below, or elsewhere, to receive additional information from Continental Tire Canada Inc., your email address will only be used for communications regarding your submission to this program.

Fields marked with an * are MANDATORY fields and must be completed in full.

Email:  *

Confirm Email:  *


If you do not have an email address, or do not wish to enter it, you may send your submission via mail or fax.

Click Print Claim Form to print out a submission form that you can fax or mail-in to us.