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* Mandatory fields
*Name: Individual /Business or Organization
*Full Address,City,State & Zip:
*Cell Phone
*Email
*Payment Type
Please Indicate Payment Type:
SP = Scheduled Payment
CP = Consignment Payment
RFP = Referral Fee Payment
TP = Tire Purchase
CP = Commission Payment
AP = Advertisement Payment
SR = Scrap Removal
*Your Payment For:
Brief description of what your payment is for.
Tire Buyers enter the number of tires, brand and size of the tires you are buying.
*Payment / or Load Card Funds Amount ($USD)
Payments completed equivalent to signing the agreement and customer acknowledges and agrees to this stipulation.
 


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Contact us at: 

Email: supausal@outlook.com 

Office: 205-737-4111


            

100 West Oxmoor Rd

Birmingham, Al. 35209

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