Warranty Registration Form

South Bend Clutch, Inc. warrants that our clutches are free from defects in workmanship and material under normal use and service.  For info click here.  To register your warranty please use the form below.

NOTE: A COPY OF YOUR RECEIPT MUST ALSO BE SENT IN TO VALIDATE THE WARRANTY. YOU CAN MAIL IT IN, FAX IT TO 574-256-2568 OR EMAIL IT TO sales@southbendclutch.com.



First Name*
Last Name*
Address
City
State
ZIP
Phone
- -
Email*


Part Number
Date of Purchase
Place of Purshase
Primary Use
VIN Number
Make
Model
Year
Mileage
Modifications
Date of Install
Installer
ASE Number of Installer
Who recommended this clutch?
Proof of flywheel resurfacing
Other parts replaced at time of install


 
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