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Warranty Claims Registration

Responsible Contact *

Email Address *

Phone Number *

Today's Date *

Trailer Owner *

Vehicle Owner Address *

IF DIFFERENT from Owner

Trailer User

Vehicle User Address

Email Address

Phone Number

Vehicle Manufacturer *

Chassis Number *

Date of Registration *

Distance Travelled (km) *

Date of Failure *

Trailer Use *

Country *

Number of Axles *

BPW Type Plate

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BPW Part Number *

Axle Document Number *

Damaged Side *

Left

Right

BPW Part Number

Axle Document Number

Damaged Side

Left

Right

BPW Part Number

Axle Document Number

Damaged Side

Left

Right

BPW Part Number

Axle Document Number

Damaged Side

Left

Right

BPW Part Number

Axle Document Number

Damaged Side

Left

Right

BPW Part Number

Axle Document Number

Damaged Side

Left

Right

Faulty Components *

Part Number *

Faulty Components

Part Number

Reason for Complaint *

Prove you are human *

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Last Name

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Switchboard - (011) 681 3300
Support | Afterhours - 082 802 3687
Corner Kitty & Donald Street
Chrisville, 2091, South Africa

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