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WARRANTY REGISTRATION FORM
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Company Info
Customer Name*
Address*
City*   State *
Zip Code*
Country
Phone*
E-mail*
Model#* 
Dealer Purchased From*
Purchase Date *
Contact Person Name*
Contact Person Email*
Type* DIRT BIKE       ATV      GO-KART      SCOOTER
VIN#*
SERIAL#*
   
Was this purchased for; Yourself        Family Member        As a Gift
If for family member, who?
If a gift, for whom?
Age of user: 6-12        12-16       16-30        30+
   
Do you currently own additional Off-Road Vehicles? YES          NO
If yes, How many?
What are they?
Brand(s)
What specifically made you decide on the Yuma Motorsports vehicle?
May we contact you later to see if you are still satisfied with your purchase? YES          NO