SYLVANIA

Automotive Lighting

In an effort to better assist you please answer the following questions.

 

Customer Information

 

1.First Name: required
2.Last Name: required
3.Email Address: required
4.Phone: required

 

Mailing Information

 

Post office box not accepted for returns and replacements. Please enter a full address.
5.Address:
6.Address:
7.City:
8.State:
9.Zip Code:

 

Warranty/Replacement Information

 

Do you have a warranty or replacement request? If yes, please answer the questions below completely to ensure prompt service.
10.Vehicle Year/Make/Model:
11.Where did you make your purchase?
12.Part Number(s) purchased?
13.Date of purchase:
14.Do you have a copy of the receipt?
15.Do you have the lamps?

 

General Inquiry Information

 

From the list please select any that apply to your inquiry and describe in the space provided.
16.









17.Inquiry Details:
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