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Warranty Request Form-
for questions call Service at 573-988-2512 or email
[email protected]
*
Indicates required field
Date
*
Name
*
First
Last
Email
*
Distribution or Dealer Name
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Customer Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Base Unit or attachment that failed
*
model
*
Serial Number
*
Date of Purchase/Date of failure
*
Bales/Acres/hrs operated
*
Tractor make and model
*
date of repairs
*
attachments added
*
description of failure/reason for claim
*
Upload Your photos-required
*
Max file size: 20MB
dealer signature
*
Parts replaced Part#
*
Parts replaced Quantity
*
parts replaced description
*
parts replaced price
*
parts replaced total price
*
labor
*
hours
*
labor rate
*
labor total
*
travel/ mileage
*
request overall total
*
other Comments
*
Submit
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