U.S. Gear Corporation, 9420 Stony Island Ave., Chicago, IL 60617 -- Phone 888-874-3275

Dual Range Auxiliary Transmission Product Registration

After you submit this form, U.S. Gear will add your information to our product registration database. Remember that warranty claims must be pre-approved, and must be accompanied by your proof-of-purchase (work order, bill of sale, credit card receipt, cancelled check, etc.).

Please provide the following product information:

Model Number

Serial Number

Make:

Other details: Elec. Speedo?
4 x 4

Brake Unit?

Build Date:

Please provide the following contact information:

First Name

Last Name

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Phone

E-mail

Please provide the following purchase information:

Date of Purchase

Dealer Name

City

State/Province

Phone

Please provide the following vehicle information:

Make, Model, and Year:

Miles on vehicle:

How used:

Total GVW:

Comment:

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Send your questions and comments to: info@usgear.com

Model Number
Serial Number
Make:
Other details:	Elec. Speedo? 4 x 4 Brake Unit? Build Date:

First Name
Last Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Phone
E-mail

Date of Purchase
Dealer Name
City
State/Province
Phone

Make, Model, and Year:
Miles on vehicle:
How used:
Total GVW:
Comment: