Warranty Submission
Please fill out thoroughly.
Shop Name
*
Address of shop
*
Name of owner of shop
*
First Name
Last Name
Date of install
*
-
Month
-
Day
Year
Date
Front Windshield Percentage, Type of film and Roll ID? If N/A Put N/A
*
Driver and passenger percentage, type of film and Roll ID? If N/A Put N/A
*
Back passengers percentage, type of film and Roll ID? If N/A Put N/A
*
Back Windshield percentage, type of film and Roll ID? If N/A Put N/A
*
Sunroof percentage, type of film and Roll ID? If N/A Put N/A
*
Customer first and last name
*
First Name
Last Name
VIN of vehicle?
*
Year, Make and Model
*
Customer Signature (Customer understands we only warrranty manufacturer defects and mistakes made by the shop owner?
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