Use Form 1 if you cannot find a copy of your extended warranty contract and complete as many fields as possible.

Use Form 2 if you DO have a copy of your extended warranty contract and are able to snap a picture of it with your cell phone.

FORM 1

Name

First Name

Last Name

Email

Phone

(###)

###

####

Extended Warranty Company

Policy Holder's Name

*This name must match the name that is on your extended warranty contract

Extended Warranty Phone #

(###)

###

####

Current Odometer Reading/ Mileage (if applicable)

Year/ Make/ Model of Coach

VIN Number

FORM 2