Coquille Tire Customer Inquiry Form
Let us know your preferences and help us improve how we keep you safe on the road.
Section 1: What reminders would you want?
Tell us which safety check reminders would be most helpful for you.
Which safety check reminders would you actually use? (Select all that apply)
Tire pressure
Brake condition
Battery health
Wiper blades
Tread depth
Tire rotation schedule
Steering & suspension check
Seasonal safety check (rain/mud/winter)
Other
How often would you want those reminders?
Based on mileage (example: every 5,000 miles)
Based on time (example: every 6 months)
Seasonal (before heavy rain / winter / summer travel)
Only when we notice something during a visit
Section 2: How should reminders reach you?
Let us know your preferred way to receive reminders. You can choose up to 2 methods.
What reminder methods do you prefer? (Pick up to 2)
Text message
Email
Postcard mail
Phone call
Tell me next time I’m in the shop
Punch card for rotations
Other
If you selected text or email, how often is too often?
1–2 reminders per year is plenty
Quarterly is okay
Monthly is okay (only if important)
Only when I’m overdue
Section 3: Rotation punch card interest
Let us know if a punch card for tire rotations and discounts would interest you.
Would you use a rotation punch card if it could lead to a tire discount?
Yes
Maybe
No
What reward would actually motivate you?
Discount on next tires
Free rotation
Credit toward service
Something else
Section 4: A little context (optional)
(Optional) Share more about your vehicle and the best way to reach you if you want reminders.
What do you drive most often?
Commuter car
Truck
SUV
Work rig / heavy use
Other
Your full name
First Name
Last Name
Phone number (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Email address (optional)
example@example.com
Preferred contact method (please reconfirm)
Text message
Email
Phone call
Postcard mail
Other
Submit Inquiry
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