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Fields
Warranty Registration
Initial Warranty Registration
Customer Name
*
First Name
*
Last Name
*
Customer Email
Autobahn Dealer Name
Autobahn Dealer Number
AB00000
Installation Date
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Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
01
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28
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30
31
Year
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
Car Mileage
Vin
Select Product or Package
*
Keramik X
Leicht
Wachter
Nautik
Kristall
Bronze Package
Silver Package
Gold Package
Keramik X
Please re-enter Lot Number if Using Same Lot
Leicht
Wachter
Nautik
Kristall
Warranty Card Serial Number (optional)
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