Delivery Receipt

For assistance in completing the Online DR Submission please call 1-800-290-2220 ext. 127, or ext. 147.

Date of Delivery:*

Customer/Fleet:

Vehicle Information:

Dealer

Delivery Point (Servicing MSTAR Dealer Information)


Was this case, service only with no tires sold?

New Tires/Retreads*

Quantity Article # Tire Size Classification Tire Size Ply (R) New Tire Product Description/Retread Tread Pattern FET ($) Unit Price ($)  
No entries.

Casings

Quantity Tire Size Ply (R) Brand Unit Price ($)  
No entries.

Service*

Road Service Definitions and Rates*


Hourly Rates*

Regular Hours: 7:30 a.m. - 5:00 p.m. Monday - Friday
After Hours: 5:01 p.m. - 7:29 a.m. Monday - Friday/Saturday, Sunday, & Listed Holidays (24 hours).


US Holidays*
New Year's Day
Martin Luther King Jr Day
Memorial Day
Independence Day
Labor Day
Thanksgiving Day
Christmas Day


Non-Emergency Service Definition - Service that is scheduled or is convenient at the current time, regardless of location, includes yard service.
Non-Emergency Service Hourly Rates*
Regular Hours Service Call
1-hour minimum: 1/4-hour increment thereafter.
Price - $82.00.
After Hours Service Call (M-F, Saturday, Sunday, Holiday)
2-hour minimum: 1/4-hour increment thereafter.
Price - $104.00.


Emergency Service Definition - Service that is needed immediately, regardless of location.
Emergency Service Hourly Rates*
All EMERGENCY hourly labor rates include the following:
All labor charges (including installation of valve stems, etC.)
Flat repair (including standard patch and cement)
Mounts and dismounts (including inside duals).
Emergency Regular Hours Service Call
1-hour minimum: 1/4-hour increment thereafter.
Price - $99.00.
Emergency After Hours Service Call (M-F, Saturday, Sunday, Holiday)
2-hour minimum: 1/4-hour increment thereafter.
Price - $121.00.


Tire Classification
Light Truck Tire - All LT designated tires plus 8R17.5 and 19.5 sizes.
Medium Truck Tire - 7.50-12.00 cross-section or 245-315 LP cross-section, and 215/75R17.5 and up.
Heavy Truck Tire - Larger than 315 cross-section or 12.00 cross-section.


Dealer Specified Pricing (DSP)
Pricing supplied locally by the servicing dealer. Items such as mud flaps, mileage, scrap fees, sealants, valves, studs, etc.


*Rates may vary by fleet or national account product utilized. Rates selected must match the tire size(s) submitted in step 3 of this online DR form or the dealer risks the transaction being declined by the manufacturer. All DR's must be submitted within 30 days of being conducted, or credit will be declined by the manufacturer.


Select service below:

Non Emergency Service, LIGHT TRUCK

Unit Price ($)
Total Price ($)
Regular Hours

After Hours

Saturday, Sunday & Holidays.

Mount Tire, Light Truck

Mount tire on rim/wheel.

Dismount Tire, Light Truck

Dismount tire on rim/wheel.

Mount Vehicle, Light Truck

Mount tire assembly on vehicle - outside dual.

Dismount Vehicle, Light Truck

Dismount tire assembly on vehicle - outside dual.

Mount + Dismount Tire, Light Truck

Mount and dismount tire on rim/wheel.

Mount + Dismount Vehicle, Light Truck

Mount and dismount assembly on vehicle - outside dual.

Tire Change, Light Truck

Dismount tire from vehicle, dismount tire from rim/wheel, mount tire on rim/wheel, mount tire on vehicle - outside dual.

Flat Repair, Light Truck Loose Assembly

Dismount tire from rim/wheel, repair tire, repair material included, mount tire on rim/wheel.

Flat Repair, Light Truck From Vehicle

Dismount tire from vehicle, dismount rim/wheel, repair tire, repair material included, mount tire on rim/wheel, mount tire on vehicle.

Balance Tire, Light Truck

Including weights.

Balance Tire, Light Truck (Custom Wheel)

Including weights. Price DSP.

Valve Stem, Rubber, Light Truck

Price DSP.

Valve Stem, Steel, Light Truck

Price DSP.

Fee, Disposal, Light Truck

Price DSP.

Fee, Wheel Disposal, Light Truck

Price DSP.

Non Emergency Service, MEDIUM TRUCK

Unit Price ($)
Total Price ($)
Regular Hours

After Hours

Saturday, Sunday & Holidays.

Mount Tire, Medium Truck

Mount tire on rim/wheel.

Dismount Tire, Medium Truck

Dismount tire on rim/wheel.

Mount Vehicle, Medium Truck

Mount tire assembly on vehicle - outside dual.

Dismount Vehicle, Medium Truck

Dismount tire assembly on vehicle - outside dual.

Mount + Dismount Tire, Medium Truck

Mount and dismount tire on rim/wheel.

Mount + Dismount Vehicle, Medium Truck

Mount and dismount assembly on vehicle - outside dual.

Tire Change, Medium Truck

Dismount tire from vehicle, dismount tire from rim/wheel, mount tire on rim/wheel, mount tire on vehicle - outside dual.

Flat Repair, Medium Truck Loose Assembly

Dismount tire from rim/wheel, repair tire, repair material included, mount tire on rim/wheel.

Flat Repair, Medium Truck From Vehicle

Dismount tire from vehicle, dismount rim/wheel, repair tire, repair material included, mount tire on rim/wheel, mount tire on vehicle.

Add for Inside Dual, Medium Truck

Balance Tire, Medium Truck

Including weights.

Valve Cap, Flow Thru

Price DSP.

Valve Cap, Standard

Price DSP.

Valve Stem, Steel, Medium Truck

Price DSP.

Valve Stem, Specialty, Medium Truck

Price DSP.

Valve Extension

Price DSP.

Valve Core

Price DSP.

Fee, Disposal, Medium Truck

Price DSP.

Fee, Wheel Disposal, Medium Truck

Price DSP.

Non Emergency Service, HEAVY TRUCK

Unit Price ($)
Total Price ($)
Regular Hours

After Hours

Saturday, Sunday & Holidays.

Mount Tire, Heavy Truck

Mount tire on rim/wheel.

Dismount Tire, Heavy Truck

Dismount tire on rim/wheel.

Mount Vehicle, Heavy Truck

Mount tire assembly on vehicle - outside dual.

Dismount Vehicle, Heavy Truck

Dismount tire assembly on vehicle - outside dual.

Mount + Dismount Tire, Heavy Truck

Mount and dismount tire on rim/wheel.

Mount + Dismount Vehicle, Heavy Truck

Mount and dismount assembly on vehicle - outside dual.

Tire Change, Heavy Truck

Dismount tire from vehicle, dismount tire from rim/wheel, mount tire on rim/wheel, mount tire on vehicle - outside dual.

Flat Repair, Heavy Truck Loose Assembly

Dismount tire from rim/wheel, repair tire, repair material included, mount tire on rim/wheel.

Flat Repair, Heavy Truck From Vehicle

Dismount tire from vehicle, dismount rim/wheel, repair tire, repair material included, mount tire on rim/wheel, mount tire on vehicle.

Balance Tire, Heavy Truck

Including weights. Price DSP.

Fee, Disposal, Heavy Truck

Price DSP.

Fee, Wheel Disposal, Heavy Truck

Price DSP.

Emergency Service

Unit Price ($)
Total Price ($)
Regular Hours

After Hours

Saturday, Sunday & Holidays.

Fee, Disposal, Emergency Service

Price DSP.

Fee, Wheel Disposal, Emergency Service

Price DSP.

Miscellaneous Service

Unit Price ($)
Total Price ($)
Misc Tire Related Product

A description of the part must be included on the DR. Price DSP.

Misc Non-Tire Related Product

A description of the part must be included on the DR. Price DSP.

Misc Hourly Labor

Price DSP.

Wheel/Rim, New

Price DSP.

Wheel/Rim, Used

Price DSP.

Refinishing, R/W

Price DSP.

Refinishing, R/W, Powder Coat

Price DSP.

Wheel Alignment

Must specify number of axles on DR.

Rotation, Tire

Must specify positions involved on DR.

Valve Cap, Flow Thru

Price DSP.

Valve Cap, Standard

Price DSP.

Valve Extension

Price DSP.

Valve Core

Price DSP.

Mud Flap

Price DSP.

Stud

Price DSP.

Tube Flap

Price DSP.

Tube, New

Price DSP.

Sealant

Price DSP.

Fee, Mileage*

Price DSP.

Fee, Fuel Surcharge*

Price DSP.

Verification

Comments

Verification of Delivery:

Copyright © 2016 Motostar | Developed by Tireweb Marketing

Ezytire Toolbox