Ticket-Free Guarantee & Product Warranty Registration

Dealer Zip Code*
Dealer Name*
Salesperson First Name
Salesperson Last Name
Your First Name*
Your Last Name*
Your Email*
Your Phone*
Your Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Co-Driver First Name
Co-Driver Last Name
Vehicle Year*
Vehicle Make*
Vehicle Model*
Product(s) You Purchased*
- Platinum360 - Dual Remote Radar w/GPS
- Platinum200 - Single Remote Radar w/GPS
- Platinum100-RC Portable Radar / Laser Detector with Remote Control
- Platinum100 Radar / Laser Detector
- Laser Defuser(s)
- RL360di - Dual Remote Radar w/GPS
- RL200di - Single Remote Radar w/GPS
- RLS2 Portable Radar / Laser Detector with GPS
Date Purchased*
MM slash DD slash YYYY
Price Paid - Installed*
Own or Lease*
How Did You Hear About K40?*
If other, please specify
Please contact me to discuss a 2 year ticket-free guarantee extension. (Sold separately and available only to K40 owners residing in the U.S.)
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