K40 ELECTRONICS Platinum 100 - Ticket-Free Warranty Registration Form Details; Completing the Warranty Registration Form

K40 Radar I Laser Protection Systems
ELECTRONICS
Ticket-Free Warranty Registration
IMPORTANT:
In order to process speeding ticket reimbursement claims, the form below
must be fully completed. Please print clearly-all information will remain
confidential. You may also register online at K40.com
Full Name _____________________ _
Address
--------------------------
City __________ State ____ ZIP _____ _
Daytime
Email Address Phone
------------ --------
Vehicle Description:
(Year) (Make) (Model)
Authorized
K40 Dealer Name ____________ ZIP _____ _
Radar
Platinum360
Platinum200
Platinum100
Laser
Laser Defuser(s)
__ How many?
Total Price Paid $ ______ Purchase Date _______ _
Additional Comments: __________________ _
Please contact me to discuss extending my Ticket-Free warranty.
(Offer available only to K40 owners residing in the U.S.)
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