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Warranty Claim

Fill out the form below to begin your warranty claim process. Fields marked with an * are required.

Contact Information

Distributor Name / Where purchased *
Contact Name *
Address *
City *
State/Province *
Zip Code *
Email Address *
End User Company Name
End User Contact Name

Part Information

Part Number or Description *
Reported Issue *
Date On *
Odometer On *
Date Off *
Odometer Off *
Vehicle Year
Vehicle Make
Vehicle Model
Engine Fan Part # or Size (ex 9 blade - 30" diameter)
Your Reference # (optional)
Check this box if you're human *