Warranty Form

Fields marked with an * are required

Limited Lifetime Warranty

7.3L Power Stroke Fuel Injector Warranty

Limited Lifetime Warranty card must be filled out entirely and returned within thirty (30) days with injector cores and proof of purchase to qualify. This warranty is only in effect for the original purchaser and original vehicle listed on registration. No transfers of ownership or vehicles allowed!

Warranty Form

Personal Information

First Name

Last Name

Address 1

Address 2

City

State

Zip / Post Code

Vehicle Information

Vehicle Year

Vehicle Model

Vehicle Make

VIN Number

Mileage at install

Oil Brand/Weight

Oil Filter Brand

Fuel Filter

Other Brand Fuel Filter

Product Information

Date of Purchase

Amount Paid

Purchased From (Dealer)

Fuel Injector Part Number

Upload Proof of Purchase

Maximum file size: 52.43MB

Serial # 1

Serial # 2

Serial # 3

Serial # 4

Serial # 5

Serial # 6

Serial # 7

Serial # 8

Additional Notes

If you are human, leave this field blank.