Customer InformationName First Last Email Shipping Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Vehicle InformationYear / Make / ModelVIN NumberOrder & Product DetailsInvoice NumberDate of Purchase Month Day Year Product Name / Part NumberProduct Registration Numberif required within 30 daysInstalled ByShop Name or Self-installedDate Product Was Installed Month Day Year Mileage / Hours of UseIssue DescriptionDetailed Description of the ProblemWhen Did the Issue Start?Any Warning Signs before Failure?Is the Vehicle Still DrivableSupporting DocumentsProof of PurchaseMax. file size: 50 MB. Order confirmation email / invoiceProduct Registration Confirmation EmailMax. file size: 50 MB. Photos of damaged item(s) Drop files here or Select files Max. file size: 50 MB, Max. files: 20. Installation InvoiceMax. file size: 50 MB. if installed by shopPhotos of Installation Area Drop files here or Select files Max. file size: 50 MB. Photos of Entire VehicleMax. file size: 50 MB. front, rear, both sidesVideo of IssueMax. file size: 50 MB. AcknowledgementsHigh Risk I understand motorsports parts are used in high-risk environmentsProcedures I confirm proper installation procedures were followedImproper Installation I understand improper installation voids warrantyInspect I authorize SP Motorsports to inspect the returned productReturn I understand parts may need to be returned before claim approvalWarrant Claim IDSignature Δ
