Warranty & Non-Installation Warranty Consumer Form

Warranty & Non-Warranty Consumer Form

Date of Install

Date of Product Purchase

Name

Surname

Mobile Number

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

Name

This field is for validation purposes and should be left unchanged.

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