SUPPORT

Warranty Registration Form

Complete the fields marked with * to register your product. All personal information submitted to us will be treated with the strictest confidentiality and in accordance with our privacy policy. PART NO., SERIAL NO., and MFG. DATE is affixed to the exterior of the DPF or DOC.

WARRANTY REGISTRATION FORM

MUST COMPLETE AT TIME OF INSTALL

Today's Date

Name The Place Where Product Was Purchased:

Address of Where The Product Was Purchased:

Types of Products Purchased: (select all that apply)

Diesel Particular Filter (DPF) Diesel Oxidation Catalyst (DOC)

Warranty Registration Detail:

New Durafit Purchase Spare Warranty Replacement Non-Warranty Replacement

End User Name:

Customer Contact Person:

End User Address:

Phone Number:

EXT:

Fax Number:

City:

State/Province:

Country:

Postal Code / Zip Code:

Durafit DPF Part Number (E.G. C17-XXXX):

Durafit DPF Serial Number (E.G. AM-XXXX):

Durafit DOC Part Number (E.G. C20-XXXX):

Durafit DOC Serial Number (E.G. AM-XXXX):

Vehicle Odometer at Installation:

Vehicle Hour Meter at Installation:

Current Odometer:

Current Hour Meter:

Vehicle Make:

Vehicle Model:

Engine Make:

Engine Model:

Year:

Original DPF Part Number:

Original DOC Part Number:

Vehicle Indentification Number (VIN):

Date of Purchase:

Date Installed:

Prouct Installation Type:

Authorized DuraFit Distributor Reseller Customer

Vehicle Odometer at Installation:

Upload Copy of Purchase Invoice: (Invoice must reflect Serial Number, Part Number and Date of Purchase. You may upload the following formats: JPG, PDF, PNG, BMP)

Thank you for taking the time to register your part with us today.

SUPPORT

Warranty Registration Form