Hexis Warranty

Applicator / Installer Company Name

Applicator / Installer Phone Number

Contact Person

Installer Email

City/Suburb

State/Territory

Country

Bodyfence Product Bodyfence Product Bodyfence Bodyfence x Bodyfence p Bodyfence Black

Product Serial No. / Lot No.

Purchase Date (DD - MM - YYYY)

Vehicle Year

Vehicle Model

Vehicle Make

Vehicle Chassis Number

Installation Date (DD - MM - YYYY)

Protection Area Protection Area Bonnet Partial Protection Bonnet Full Protection Door Cup Protection Front Bumper Partial Protection Front Guards Protection Front Bumper Full Protection Headlight Protection Mirror Protection Partial Wrap - Front Protection (Bumper, Bonnet, Guards) Rear Bumper - Partial Protection Rear Bumper - Full Protection Tailgate Protection (Top of rear bumper) Taillight Protection Whole car - Full Protection Other

Customer Full Name

Company (if applicable)

Customer Email Address

Customer Phone Number

City/Suburb

State/Territory

Country