Pro-Lite Warranty Form
Email address *
First Name *
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Last Name *
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Telephone *
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Mailing Address *
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Country *
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Product Information
Model (ie Bracciano A42 Shimano/Campy) *
Your answer
Purchased from (Vendor's name) *
Your answer
Date Purchased *
MM
/
DD
/
YYYY
Serial Number
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Warranty claim details *
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