Unified Tow Brake Product Registration

After you submit this form, we will add your information to our product registration database.  Remember that warranty claims must be pre-approved, and must be accompanied by your proof-of-purchase (work order, bill of sale, credit card receipt, cancelled check, etc.).  Note: The Unified Tow Brake serial number is on a silver tag on the solenoid plate itself. It is also on the end of the box, as well as in the corner of the pink registration card that should have been in the customer information packet.


UTB Serial Number location
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Please provide the following product information:

Serial Number

Please provide the following contact information:

First Name
Last Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Phone
E-mail
Please provide the following purchase information:
Date of Purchase
Dealer Name
City
State/Province
Phone
Installed by:
If installed by "Other", please specify:

Name

Phone

 

Comment:

Validate (required): Type the following word into the box: