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Register a
new warranty
Registering your warranty is as easy as filling out the form below.
Toughseal Warranty Form
"
*
" indicates required fields
Vehicle Owner Details
Name
*
Prefix
Miss
Ms.
Mr.
Mrs.
Dr.
First
Last
Email
*
Phone
*
Address
*
Suburb / Town
*
Post Code
*
State
*
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Vehicle Details
(current vehicle model - through the calendar year with less than 16,000kms)
Veh Reg
*
Make
*
Model
*
Year
*
VIN Number
*
Colour
*
Odometer
*
Please enter a number from
0
to
16001
.
Protection Applied
Paint Protection
Please select applicable product
QFX Carbon Ceramic
Step 1 & 2 Acrylic Resin NanoTech
Interior Protection
Please select applicable product
Leather & Vinyl Protection
Fabric Protection
Certified Applicator Details
Business name
*
Applicator Warranty Number
*
Applied by
*
Name
Email
*
Date Applied
*
DD slash MM slash YYYY
Address
*
Suburb / Town
*
Post Code
*
State
*
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Applicator comments
Vehicle Owner:
*
I, the owner of the above mentioned vehicle have read and agree to the terms and conditions stated on the warranty page of this website.
Date
*
DD slash MM slash YYYY
See Warranty Conditions
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