Main Dealer Warranty Form

If you have a warranty claim then in order to fulfill main dealer warranty requirements we request that you complete the form below prior to sending your pump or injectors to us.

You can also print this form by clicking here.

If you would like to enquire about a warranty claim please call us on 053 91 45537, fax us on 053 91 45728 or email us.

Warranty Form

Please Note: All fields marked with this icon * are mandatory.

Vehicle Make:  *

Vehicle Model:  *

Registration Number:  *

Chassis/Serial Number:  *

Purchase Date:  * [e.g 21/11/2008]

Mileage/Hours:  *

Problem Description:  *

Name:  *

Telephone:  * [no spaces]

Email:  *

Validation Code:  * [Please enter the code shown below]