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Signature Warranty Form
Signature Automotive Products.
8
Questions
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1
Customers Information
*
This field is required.
Customer/Account Number
Name of Business
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2
Contact Information
*
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Contact Email
Contact Phone
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3
Date of Purchase
-
Select Date
Year
Month
Day
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4
Vehicle Information
Vehicle Year / Make / Model
Original Installation Date
Mileage at Repair
Sunroof Batch / Serial Number
Sunroof Model
Part # / Description
Vin #
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5
Has this vehicle been service before?
Select One
NO
YES
MORE THAN ONCE
Select One
Select One
NO
YES
MORE THAN ONCE
Service History
Dealership / Consumers Name
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6
Warranty Description
Please describe the purpose of the warranty or parts needed or any other comments.
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Small
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quote
Created with Sketch.
Ok
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7
File Upload
* Please be sure to attach a photo of the damage product along with this form.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
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8
Submitted By
*
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Submitted By
Date
Title
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9
Tracking Code
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