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011 397 1191
Drake Warranty Claim Request Form
First name
*
Last name
*
Phone
*
Email
*
Chassis Number
*
Failure Date
*
Month
Day
Year
Model Name
*
Mileage/Hours
*
Description of Issue
*
Overall Cart Photo
*
Upload File
Chassis Plate Photo
*
Upload File
Photo of Issue
*
Upload File
Video of Issue (Optional)
Upload File
Submit
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