IMC Scrapers Warranty Claim Form
All claims must be submitted within 30 days of failure
Hold parts at dealer for disposition instructions
Date:
*
Company Name:
*
Address:
City:
State:
Zip:
Description of failure or reason for credit:
*
BE SURE AND INCLUDE ALL PART NUMBER(S) & QUANTITIES
Name:
*
SCRAPER INFORMATION
(if applicable)
Model #:
Serial #:
E-MAIL CONTACT:
E-mail Address:
*
*
Required
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