Tire Discounters REQUEST APPOINTMENT ONLINE Please fill out the form to request an appointment. Your appointment is not scheduled until a Tire Discounters Representative contacts you to confirm. If this request is completed after our normal business hours we will contact you the next business day. IS THIS FOR A FLEET OR BUSINESS ACCOUNT? YES NO CUSTOMER INFORMATION: FULL NAME* PHONE* EMAIL* PICK-UP ADDRESS* PICK-UP ADDRESS 2 PICK-UP CITY* PICK-UP STATE* SELECT YOUR STATE AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY ND OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY PICK-UP ZIP* DROP OFF SAME AS PICK UP ADDRESS? YES NO SPECIAL INSTRUCTIONS Send me text confirmation and reminder about my appointment Standard text message rates may apply. Your mobile number will only be used to contact you about this purchase. You may opt out of receiving text messages at any time. PREVIOUS NEXT 1 2 3 Tires Our Tires Find Tires Tire Education Our Brands Services Auto Glass Automotive Services Tires Fleet Services Fleet Membership Make a Payment Credit Card Member Benefits Credit Application Pay My Bill About Us About Tire Discounters Why Tire Discounters? TD News Careers Apply Now Benefits Who We Are Contact Us Contact Form Live Chat Find a Store Request Appointment Franchise FAQ SECONDARY FOOTER Pricing Policy Privacy Policy Terms of Use Coupon and Promotion Policy Facebook Twitter Yelp Glassdoor © 2014 - 2021 Tire Discounters. All Rights Reserved.