VMAC Product Warranty Registration

This online form must be fully completed and submitted to VMAC at the time of installation. Warranty will be void if this form is not received by VMAC within 30 days of installation.

* These fields are required.

VMAC Dealer Information

Company Name:
City:		Prov/State:	Alberta British Columbia Labrador Manitoba New Brunswick New Foundland Northwest Terr. Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territories Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming

Installer Information

* Company Name:
* City:		* Prov/State:	Alberta British Columbia Labrador Manitoba New Brunswick New Foundland Northwest Terr. Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territories Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
Installer Name:		* Installation Date:

Owner Information

* Company Name:
* Address:
* City:		* Prov/State:	Alberta British Columbia Labrador Manitoba New Brunswick New Foundland Northwest Terr. Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territories Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
* Zip/Postal Code:		Phone Number:	( )

Vehicle Information

* Year:	1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012	* Make:
* Vehicle Identification Number:	(example - 1FTNF70L44ED71990)
Unit #:

Product Information

* System Identification Number:	(example - V900086DTF002)
Compressor Serial Number:	(example - P120100ATF001) UNDERHOOD only
Throttle Control Serial Number:	(example - T5001070TH031) UNDERHOOD & Throttle Commander only
Switch Box Serial Number:	(example - 3550412TB021)
Control Box Serial Number:	(example - 3550404TB001)

 

If you would like a copy of this completed form emailed to you, please input your email address: