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Window Film Warranty Registration
1
Warranty ID#
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2
Customer Name
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First Name
Last Name
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3
Installation Date
*
This field is required.
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Date
Year
Month
Day
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4
Glass Type
Single Pane
Double Pane
Double Pane Low-E
Other
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5
Installation Address
*
This field is required.
Commercial & Residential Only
Street Address
Street Address Line 2
City
State/Province
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
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Angola
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Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
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Bahrain
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Belgium
Belize
Benin
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Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
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Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
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Dominican Republic
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Egypt
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Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
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Guadeloupe
Guam
Guatemala
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Guinea
Guinea-Bissau
Guyana
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Hungary
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Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
United States
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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6
Customer Phone Number
Enter Customer Phone number:
Area Code
Phone Number
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7
Customer E-mail
*
This field is required.
Enter Customer Email:
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8
Film Type(s)
*
This field is required.
Color Stable 5%
Color Stable 15%
Color Stable 20%
Color Stable 35%
Color Stable 45%
Color Stable IRX 5%
Color Stable IRX 15%
Color Stable IRX 25%
Color Stable IRX 35%
Color Stable IRX 45%
Black Ceramic IRX 5%
Black Ceramic IRX 20%
Black Ceramic IRX 25%
Black Ceramic IRX 35%
Black Ceramic IRX 42%
Clear Security 4
Clear Security 8
SPF 30
SPF 45
SPF 60
SPF 90
Signature Ceramic Clear
Signature Ceramic Tinted
Lux Labs Clearbright Projection
Silver 15%
Silver 30%
Silver 50%
Dual Reflective 5%
Dual Reflective 15%
Dual Reflective 25%
Dual Reflective 35%
Spectrally Selective HD 70%
Matte Frost
Color Stable 5%
Color Stable 15%
Color Stable 20%
Color Stable 35%
Color Stable 45%
Color Stable IRX 5%
Color Stable IRX 15%
Color Stable IRX 25%
Color Stable IRX 35%
Color Stable IRX 45%
Black Ceramic IRX 5%
Black Ceramic IRX 20%
Black Ceramic IRX 25%
Black Ceramic IRX 35%
Black Ceramic IRX 42%
Clear Security 4
Clear Security 8
SPF 30
SPF 45
SPF 60
SPF 90
Signature Ceramic Clear
Signature Ceramic Tinted
Lux Labs Clearbright Projection
Silver 15%
Silver 30%
Silver 50%
Dual Reflective 5%
Dual Reflective 15%
Dual Reflective 25%
Dual Reflective 35%
Spectrally Selective HD 70%
Matte Frost
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9
Total Square Footage Installed
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10
# of Double Panes
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11
Previous glass breakage or seal failure?
Please Select
Yes
No
Automotive
Please Select
Please Select
Yes
No
Automotive
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12
Equal to or greater than 20 sq ft?
Largest single window pane treated "equal to" or "greater than" 20 square feet?
Yes
No
Automotive
Yes
No
Automotive
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13
Additional Glass Insurance?
I do not have a window greater than 20 sq. ft, yet I would like additional insurance:
Yes
No
Automotive
Yes
No
Automotive
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14
Name
*
This field is required.
Please enter your first and last name
Name
Last
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15
Email Address
*
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example@example.com
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16
Warranty Process
*
This field is required.
Check boxes to confirm you have READ and understand how to file a claim
I understand customers will be notified of the warranty claim process via email provided
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