​​Warranty & Technical Support Request Form

Warranty & Technical Support Request Form

PLEASE NOTE THIS IS NOT A CREDIT REQUEST OR EXCHANGE FORM.
THIS FORM IS FOR WARRANTY SERVICE ONLY.
PLEASE CONTACT YOUR POINT OF SALE FOR RETURN FOR CREDIT OR EXCHANGE INSTRUCTIONS.

Please Completely fill out this form (include Model#)
Failure to provide this information will result in a denied warranty claim.

Note : Proof of Purchase document must be provided in the form of an itemized receipt or invoice that lists an RubberShox/DuraShock brand item and Date of Purchase.

If unable to submit, please download an Adobe PDF Warranty Support Form File.
RubberShox / DuraShock

* Indicates required field

Name *

First

Last

Phone Home *

Phone Work *

Phone (Cell) *

Email *

Purchase Information

Date of Purchase (MM/DD/YY) *

Where did you purchase? *

Dealer Phone *

Order # *

Model # *

Ship to Address: (where replacement/missing product will ship to) *

Line 1

Line 2

City

State

Zip Code

Country

Problem *

Description of the problem *

Proof of Purchase *

Max file size: 20MB

Damage item Picture *

Max file size: 20MB

Your Vehicle

Car Make/Model *

The Coil Spring Gap *

Submit

​​​Warranty & Technical Support Request Form

Warranty & Technical Support Request Form