Register your product by filling out and submitting this registration form.
By registering, you will secure that the limited warranty for this product is in effect with InterMotive, Inc.

(Please fill in all fields - Required fields are in red.)

Registering Party

Company Name:

Contact Name:

Street Address:

City:

State:

Zip:

Phone/Fax Numbers use the following format: 888-888-8888 or 888.888.8888

Telephone:

Fax:

Email Address:

Confirm Email Address:

Send complete product instuctions on this product to Registering Party











End User     Copy Registering Party Info.

Product Model No. (Located on module):

Product Serial No. (Located on module):

Company Name:

Contact Name:

Street Address:

City:

State:

Zip:

Phone/Fax Numbers use the following format: 888-888-8888 or 888.888.8888

Telephone:

Fax:

In-Service or Delivery Date :

Choose date...

Email Address:

Vehicle Type (Ford, Chevy, etc.):

VIN No:

Lift Manufacturer:


*The warranty period for products in cases where the warranty card is not returned or electronically submitted to InterMotive will begin on the date the product is first sold.