JMACX Warranty Support

First Name

Last Name

Client Name (If Applicable)

Business Name

Phone Number

Email Address

Original Vehicle Owner?Original Vehicle Owner?YesNo

Vin Number

Date of Purchase

Original JMACX Order Number

Part Number

Part Description

Business that Installed the Component

Original Fitment Date

Registration Number

Odometer on Vehicle

Date Failed

Kilometres Since Install of Part

Number of ShocksNumber of Shocks124

Adjuster nut measurement (mm)

Strut leg measurement (mm)

Reason for ClaimReason for ClaimFaultyLeakingOil LeakageDamageElectrical FaultMissing PartIncorrect PartFitment ConcernNoisy ComponentsRust

Claim Location Post Code

Shipping Address for Claim

StateStateQLDNSWVICSAWANT

Required By Date