Registration Form

The following fields must be completed in full for the warranty to be validated, including your warranty number and activation code for the Gtechniq Platinum products applied. Please refer to the Terms & Conditions page for the full warranty details.

Customer information

Title

First name

Surname/Company name *

Address *

State *

Postcode *

Phone *

Email *

Mobile

Make of vehicle *

Model *

Year *

Vehicle Colour *

Chassis NO.

Registration *

Dealership name *

Application date *

Month

Day

Year

Platinum

Products Applied

PAINT PROTECTION

Warranty Number

Activation Code

LEATHER PROTECTION

Warranty Number

Activation Code

FABRIC PROTECTION

Warranty Number

Activation Code

INTERIOR PACK

Warranty Number

Activation Code

PAINT & LEATHER PACK

Warranty Number

Activation Code

PAINT & FABRIC PACK

Warranty Number

Activation Code

PAINT, LEATHER & FABRIC PACK

Warranty Number

Activation Code

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Registration Form

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