Warranty Form

Warranty Form
Supplier Info
Internal notes:
Order Information
Dale's Super Store Order #:*
Part Type
Quantity Needing Warranty
Part Condition
Customer Information
Name:*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Vehicle Information
Year:
Make:
Model:
Engine Type:
VIN:*
Part Serial #:
Custom Tuning

Custom Tune – Stock PowerCustom Tow Tune – 50 HP or LessCustom Performance Tune – 100 HP+ or SOTFNo Custom Tune / Factory Programming
Installation information*
*
Diagnostic Information
Failed Part Name
Detailed description of the issue:*
When Do Symptoms Occur:
Fault Codes:
Diagnostic Tool/s Used:
Diagnostic Test/s Performed & Results:
Original Issue Prior to Replacing:
Would you like to pre-purchase a replacement to expedite the process?

Yes (immediate shipment)No (standard warranty procedure)
When pre-purchasing a replacement, I understand that the refund will be processed after the warranty has been approved.

Yes, I Do
Pictures and/or documents (not required)

Browse Files

Cancelof
I understand and accept that there are no refunds, exchanges or returns on Products that have been INSTALLED. These products however are ELIGIBLE for warranty coverage and support. Dales Super Store does not offer refunds, exchanges or returns on Products that have been INSTALLED. DalesSuperStore.com assumes no liability for the improper installation, improper selection, or misapplication of the Products by the customer or third parties.

Yes, I Do
I understand that, If the suppliers testing confirms that any Product does not exhibit any manufacturing defect within the manufacturer’s specifications they have identified, you will be assessed a fee for cleaning / testing and the Product(s) will be sent back to you at your expense. The cleaning and testing fee for non-warrantable parts is $50 per injector or $400 per pump, Turbo amount are determined by supplier.

Yes, I Do
By Signing this I agree to that all information above is correct and agree to the terms and conditions of the warranty policy.
Signature*
Should be Empty:

Warranty Form

Order Information

Customer Information

Vehicle Information

Diagnostic Information