EmailMe Form - PowerflexUSA Warranty Claim

Name *

First Last

Email *

Phone *

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Shipping Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Year/Make/Model *

Issue / Defect *

Purchase Date

Purchased From

Name of the business / retailer original purchased (not required, but we like to know if possible.)

Proof of Purchase (Photo or Screen Capture of Receipt)

Image of Defective Bushing (installed or removed) *

Do your best to show us the defect/failure. This can be either installed or removed from the car. A cell phone photo (with flash) is usually all we need.