HYML LIMITED WARRANTY REGISTRATION FORM

LIMITED WARRANTY REGISTRATION FORM
THIS DOCUMENT MUST BE RETURNED IN ORDER TO REGISTER YOUR ENGINE FOR ANY FUTURE WARRANTY CLAIMS. ALL INFORMATION MUST BE COMPLETE OR IT WILL NOT BE PROCESSED. NO WARRANTY CLAIMS CAN BE STARTED WITHOUT THIS INFORMATION.

***Limited Warranty is not valid until this form AND a copy of the INSTALLATION REPAIR ORDER/INVOICE is received by Factory. Warranty begins at the date of installation or 30 days from date of shipment, whichever comes first*** **Please send your registration information and installation invoice/repair order via one of the following: E-mail: sales@enginesfactory.com
SECTION 1 ENGINE INFORMATION
Factory Engine Serial Number
Factory Serial Number
SECTION 2 OWNER INFORMATION
Company Name
Contact Name
Address
City
State
Zip
Phone
Email
example@example.com
SECTION 3 ENGINE INSTALLER
Company Name
Contact Name
Address
City
State
Zip
Phone
Fax
SECTION 4 VEHICLE INSTALLATION INFORMATION
Date Installed

MonthDayYear
Date
Odometer @ Install
Hours @ Install
VIN #
Make
Model
Year
Application
Installer invoice #
File Upload

Cancelof
(copy must be attached to this form to finalize registration process)
Plate Number
The information used in this form will be used to determine warranty coverage and payment should a claim occur. Incomplete information will not be processed.
Signature

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Print Name
Title
Date

MonthDayYear
Date
For questions or concerns please call 800.355.0068
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