Warranty & Non-Warranty Consumer Form
Date of Install
Date of Product Purchase
Name
Surname
Mobile Number
Email
ID Number
Vehicle Make
Vehicle Model
Vehicle Year
Authroized Dealer Name
Some Products Require an Authorized Dealer to complete an Installation to Retain Warranty. Please select an option below.
Yes, I will choose a Local Dealer to complete my installation & retain my Warranty.
No, I would like to do the Installation myself and forfeit my Warranty & I understand the decision I am making.
Please note that if you do not select a dealer & Accept the Terms and conditions that a Dealer will need to complete the install of the product you are purchasing, you will forfeit your warranty.
Do you accept the terms & conditions?
I Accept
I Decline
Email
This field is for validation purposes and should be left unchanged.
✕