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Warranty

Warranty Holder Information
First Name
Last Name
Email Address
Address
City
State
Postal Code	+ US only
	International only (e.g. "ABC DE")
Country
Phone	() ext. U.S. only International only

Vehicle Information

Manufacturer

Year

Model

Engine Size

Drivetrain (Trucks Only)

Are you the original owner? Yes No

Has the vehicle been in an accident? Yes No

Was there damage to the front end? Yes No

Transmission (if you have never changed the transmission, and you do not know the mfr and/or model number, please enter STOCK for manufacturer

Manufacturer

Model Number

Steering Box (if you have never changed the steering components, and you do not know the mfr and/or model number, please enter STOCK for manufacturer

Manufacturer

Model Number

Heads (if you have never changed the heads, please enter STOCK for manufacturer

Manufacturer

Model Number

Motor Mounts

Vehicle Stance

Has the vehicle been lowered?		Yes No
	If YES, how many inches?
	Lowering Kit Brand and Part Number
Has the vehicle been lifted?		Yes No
	If YES, how many inches?
	Lowering Kit Brand and Part Number

Starter

Installation
Was our product well documented?		Yes No
Were the instructions easy to follow?		Yes No
Did you encounter any steps or procedures, not discussed in the instruction sheet provided with your product?		Yes No
	If YES, please explain:
Did you encounter any interference, not discussed in the instruction sheet?		Yes No
	If YES, please explain:
Are there any additional comments you would like to discuss, regarding the installation of the product?

The Purchase

Date of Purchase:

Dealer Information

Dealer Name

City

State

Phone Number

Is this your first Hedman Product?

Yes No

If NO, what product have you used in the past

Why did you choose to install headers?

Where did you hear about Hedman Hedders?

Why did you choose to buy Hedman Hedders?

Would you recommend Hedman Products to your friends, or fellow enthusiasts?

Yes No

Odds & Ends
Do you consult the internet for information surrounding your vehicle's maintenance, performance, tuning tips?	Yes No
If YES, please share with us up to 3 of your favorite sources for information about your vehicle: