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Customer Warranty Form
Date of Claim:
*
Order Number:
*
Dealer Name
*
Customer Name
*
Email
*
Phone Number
*
Address
*
Vin Number:
*
Failure Date:
*
Describe Problem:
*
Actions Prior to Failure:
*
Attach Photos (if any):
Upload File
Upload supported file (Max 25MB)
Resolution / Additional Notes:
I agree to the terms & conditions
Submit Form
We'll get back to you soon.
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