Warranty Card

To validate warranty this form must be filled out completely within 5 days of installation.

Mounting Information
Please indicate which bracket was used on the installation of hand control

Vehicle Information
Air Bag - Steering Wheel - Brake
I of Certify that all items on "Final
check-out" (located in the back of dealer manual) have been completed and checked.
Customer has been given complete instructions on how to operate hand controls.
Ease of Installation