RIMLOX REGISTRATION FORM
1. INSTALLATION INFORMATION
Date locks where installed (EST) Eastern standard time
*
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Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
1A. I understand and agree that ALL Rimlox wheel locks must be registered within 24hrs AFTER the Rimlox wheel locks have been properly installed. Failure to register within the 24hr time frame will result in a $400 LATE REGISTRATION FEE. REGISTRATION, GUARANTEE AND WARRANTY WILL NOT BE VALID OR ACCEPTED UNTIL FEE PHAS BEEB PAIND. NO EXCEPTIONS.
Yes. I understand and agree
No. I do not understand and do not agree
1B. Rimlox Customer inquiry ID #
*
EX: CID-2313 (Top left of original inquiry form)
1C. Rimlox Key #
*
(Key # Locations: Install key, key ring and shaft, inside black box)
1D. Person registering the Rimlox wheel locks?
*
Please Select
1. 3rd party wheel shop
2. DEALERSHIP
3. Customer/self-install
4. Rimlox customer service
1E. Customer purchased the Rimlox from?
*
1F. Dealer / Installer employee # or Dealer(ship) EIN # or
Enter NA if not dealer or dealership
2. CUSTOMER INFORMATION
2A. Customer First Name (No Initials)
2B. Customer Last Name (No Initials)
2C. Customer Phone Number
Please enter a valid phone number.
2D. Customer Email Address
*
example@example.com
2E. Customer Street address
*
2F. Customer City
*
2H. Customer Zip code
*
2G. Customer State
*
Street Address
Suite # Unit #
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
3. CUSTOMER KEY and TRACKING INFORMATION
3A. Installation key re-seal?
*
Yes. I am shipping the installation key back to Rimlox to have it sealed for my 100% Guarantee and lifetime warranty (must register within 24hrs)
No. I am keeping my key unsealed and forgoing the Rimlox 100% Guarantee and the Rimlox lifetime warranty (must still register within 24hrs)
3B. Installation key TRACKING # or Photo of receipt shipping back to Rimlox
*
MUST SHIP INSTALL KEY AND ENTER TRACKING PRIOR TO SUBMITTING FORM
3C. I am shipping my key back to Rimlox via:
*
USPS/Post office
FEDEX
UPS
DHL
Other
File Upload Clear photo of receipt or tracking number
Browse Files
Drag and drop files here
Choose a file
Cancel
of
4. WHEEL LOCK INSTALLER INFORMATION
4A. Same as above
Yes. Self installation (not guaranteed)
No. 3rd party installer (100% guaranteed)
4B. Name of business / wheel and tire shop
*
4C. Installer first name
*
4D. Installer last name
*
4E. Installer phone number
*
4F. Installer email
*
Confirmation Email
rimloxcorp@gmail.com
4G. Installer / business address
*
4H. Installer / business City
*
Street Address
Suite # Unit #
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
4i. Installer State
*
Street Address
Suite # Unit #
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
4J. Installer / business Zip code
*
5. CUSTOMER VEHICLE INFORMATION
5A. Customer Vehicle Vin #
*
5B. Vehicle Year
*
Please Select
2030
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
5C. Vehicle Make
*
5D. Vehicle Model
*
5E. Enter Drivers side DOOR JAM ID # (do not stick on driver side door)
*
EX: CMJ22LAM1934 (lime green sticker)
6. WHEEL / RIM INFORMATION
6A. Wheel Lock Torque (Must be vehicle Factory / OEM wheel torque)
*
(Ex: 140 ft lbs) MUST BE VEHICLE OEM TORQUE
6B. Wheel /Rim Size (Ex: 24")
*
Please Select
16"
17"
18"
19"
19" Front 21" Rear
20"
22"
24"
26"
28"
30"
32"
Other-enter in message box
6C. Wheel Type/ Brand
*
(Ex: Vossen)
6D. Wheel / Rim Model #
*
(Ex: CV3)
7. TIRE INFORMATION
7A. . Tire Brand
*
(Ex: Bridgestone)
7B. Tire Model #
*
(Ex: Bridgestone)
7C. Front Tire Size
*
(Ex: 255/40/20)
7D. Rear Tire Size
*
(Ex: 255/40/20)
8. REQUIRED INSTALLATION PHOTOS
8A. Entire side view of vehicle photo (bumper to bumper) (NO ANGLED VEHICLE PHOTOS ACCEPTED)
*
Upload side view photo here
Drag and drop files here
Choose a file
(Must show vehicle bumper to bumper)
Cancel
of
8B. Close up of entire wheel photo
*
Upload close up wheel photo here
Drag and drop files here
Choose a file
(Must show entire close up view of wheel and tire)
Cancel
of
8C. Close up of wheel lock
*
Upload close up lock photo here
Drag and drop files here
Choose a file
(Must show clear close up view of wheel lock)
Cancel
of
8D. driver side door jame sticker
*
Upload close up lock photo here
Drag and drop files here
Choose a file
(MUST SHOW STICKER ON DOOR JAM)
Cancel
of
9. RULES AND AGREEMENTS
9A. I understand and agree that it is the CUSTOMERS ultimate responsibility (and not the dealer/installer) to register the Rimlox wheel locks within 24hrs (after) installing the Rimlox wheel locks and ship the installation key to have sealed for the Rimlox 100% guarantee
*
NO
YES
9B. I UNDERSTAND AND AGREE THAT I CANNOT SUBMIT ANY FALSE, MISLEADING OR INCORRECT INFORMATION PROVIDED WILL RESULT IN YOUR SUBMITION TO BE AUTOMATICALLY VOID AND DELETED.
*
NO
YES
9C. I understand and agree I MUST receive the Rimlox Certificate of Guarantee to complete my registration. My registration remains INVALID until I receive the my certificate via email.
*
NO
YES
9D. I understand and agree that Rimlox wheel locks MUST be registered within 24hrs AFTER the wheel locks have been installed. This includes Authorized Dealers, Dealerships and Self installations. Failure to REGISTER within the required 24hrs will result in a $350 late registration fee. No registrations will be accepted until the late registration fee has been paid. No exceptions.
*
NO
YES
9E. I understand and agree I MUST purchase the Rimlox dummy caps to complete my guarantee. I understand that I do NOT have to purchase my dummy caps at the time of my wheel lock purchase but must purchase before my guarantee becomes VALID. (NOTE: dummy caps are NOT required for wheels with center caps)
*
NO
YES
9F. I would like a one-time 24hr extension (must still submit) Failure to submit within the extended 24hrs will automatically result in a $400 late registration fee. (must be paid prior to registration being accepted.)
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No. I Do not need an extension
Yes. I could ship it in time (postal in my area was closed by time I could ship)
Yes. I had to go out of town / travel
Yes. My locks were installed late
Other
9G. Automatic submission date and time stamp when REGISTRATION form was submitted (must be submitted within 24hrs of installation)
*
/
Month
/
Day
Year
(Installation key must be shipped within 24hrs of installing locks to be sealed) for guarantee only
Hour Minutes
AM
PM
AM/PM Option
9H. Please verify that you are human
*
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