Warranty Registration Form

Warranty Registration Form
Dealer Information
Dealer ID*
Dealer Name
Dealer Email*
example@example.com
Dealer Phone*
Please enter a valid phone number.
Customer & Vehicle
Customer Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
Vehicle Year
Vehicle Make
Vehicle Model
VIN of Vehicle
Installation Details
Install Date*

MonthDayYear
Date
Product Line*
Batch/Lot #*
Coverage Areas Installed
Window Tint

Front WindshieldSunroofFront Side WindowsRear Side WindowsQuarter WindowsRear Windshield
Paint Protection Film

HoodFront BumperFront FenderDoorsRear FenderQuarter PanelRear BumperRoofTrunk
Windshield Protection Film

Front WindshieldSunroof
Headlight / Taillight Film

HeadlightFog LightTaillight
Additional Coverage Notes
Proof of Purchase / Invoice*

Cancelof
Should be Empty:

Dealer Information