WARRANTY REGISTRATION Form

Please fill out the form and then please click "Submit Warranty Registration"
When you have Submitted the form, there will be send an email to the
address entered in the Sales vender email field to.

Start by choosing the receiver: (Send to)
Garia A/S – Denmark choose [email protected]
Garia Inc. – Texas, US choose [email protected]

CUSTOMER INFORMATION

First name

Last name

Address

Postal Code

City

Country

State

Email

Phone number

Sales Vendor

Vendor

Address

Postal Code

City

Country

State

Email

Phone

Vehicle identification

Vehicle Identification Number (VIN)

Miles / KM

Actual Purchase Date

Vehicle registration

Exclusions

Dealer signature

Customer signature

Date

By clicking this box I/We agree that all of the information provided is accurate and true