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AP Products / US Gear
Warranty Form (#110)
This form is also available as a
PDF file.
Today's Date ____________________
Date of
repair ____________________
(if
different)
Product: [
] Unified Tow Brake
[ ]
D-Celerator Diesel Exhaust Brake
[ ] Other
____________________
Serial Number _______________
UTB - attached to small tag on solenoid mounting plate
EXB - tag on cast iron housing near the word FLOW
Or from customer's warranty information |
UTB Serial Number location
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button to return to this page.)
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Date of purchase _______________
(this form must be accompanied by copy of receipt supplied
by customer at time of repair)
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Repair Station
Address
City
State
Zip
Phone #
Extension _____
Fax #
Contact Person
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Customer
Address
City
State
Zip
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Nature of Complaint (brief and specific)
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