BASSANI WARRANTY CLAIM FORM

BASSANI WARRANTY CLAIM FORM
Please complete all required fields below and submit this online form. Once submitted, your warranty request will be sent directly to our warranty department for review.

Please include clear photos of the issue and a copy of your original receipt with your submission. A Return Merchandise Authorization (RMA) is required before returning any product. Our warranty department will review your request and provide further instructions if an RMA is approved.
Customer Information
Full Name
Street Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Motorcycle Information
Make
Model
Year
Purchase Information
Bassani Product / Part Number
Where Purchased (dealer/retailer)
Date of Purchase

MonthDayYear
Date
Who Installed the Product?
Issue Description
Describe the issue or problem with the product in detail
Required Attachments
Photo(s) of the problem / defect

Cancelof
Photo or file copy of the original receipt

Cancelof
Customer Signature
Date

MonthDayYear
Date
Bassani Manufacturing USA

1550 South Maple Ave, Montebello, California 90640 • (323) 722-3333
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