Pirelli Order Form

Member Number(Required)

Your Name(Required)

First Last

Your Phone(Required)

Your Email Address(Required)

Email Address Confirm Email Address

Is this order for Club Racing tires (GT27 or GT54)?(Required)

Yes

Would you like your tires sent to the track?

Yes

Shipping Address

Street Address Address Line 2 City Province Postal Code

Order Details(Required)

Pirelli Tire IP Code

Tire Size

Tire Model

Quantity

Tire IP Code Required (Listed on "Pirelli Canada Products" Excel spreadsheet or "Pirelli Canada Price List" PDF)

Alternate Tire Choice

Tire IP Code

Tire Size

Tire Model

Quantity

Order Notes

Terms & Conditions

Once an order form is submitted, we will be in contact with you about tire availability and an invoice will be sent via email for payment. Note: Orders are subject to tax and environmental tire fees of $6.50 per tire will automatically be added to your invoice.