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ONE YEAR LIMITED WARRANTY REGISTRATION CARD
Complete and mail now. Keep a copy for your records. Please print clearly.
LAST NAME
ADDRESS
CITY
DEALER
DATE OF PURCHASE
MAKE OF CAR
EXTENDED FIVE YEAR WARRANTY REGISTRATION CARD
Complete and mail now. Enclose $20.00 and a copy of your receipt. Keep a copy for your
records. Please print clearly.
LAST NAME
ADDRESS
CITY
DEALER
DATE OF PURCHASE
MAKE OF CAR
FIRST NAMEI
MODEL #
FIRST NAMEI
MODEL #
SIGNATURE
STATE
SERIAL #
YEAR
LICENSE#
STATE
SERIAL #
YEAR
LICENSE#
NITIAL
ZIP
NITIAL
ZIP
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