SERVICE REQUEST/WARRANTY FORM
Pro-Match Racing
2033 S. Palo Verde Blvd
Lake Havasu City, Az 86403 
 

Fill out entire form completely and include with your return
 
Name:______________________________________________________________________________________________ 
Shipping Address:__________________________________________________________________________________ 
City:___________________________________ State:_______________________ Zip:________________________ 
E-Mail Address:________________________________________________ Telephone #:_______________________ 

Does your item qualify for warranty? 
Y N 
[][]Battery was purchased new less than 180 days ago 
[][]Battery was never over-charged or over-discharged 
[][]Battery was never exposed to excessive heat 
[][]Battery was always kept dry and never allowed to come in contact with metal 
[][]Battery was always connected correctly and used only in the manner for which it was intended
 
If you answered no to any of the above questions your battery does not qualify for Warranty service 

Non-Warranty Service Charges: 
 
We will contact you with an exact price for the cost of repairs for non-warranty service.

Return shipping is Priority Mail and is generally $5.99 for US returns. If it is more we will contact
you with an exact price 

Please give us a brief statement about the battery you are sending back and why. 
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C/C#_________________________EXP_________PAYPAL ACCOUNT ADDRESS___________________________________