Bri-Mar Manufacturing, LLC Warranty

Please fill out the form below to receive your Bri-Mar Trailer warranty.
Required fields are marked with an asterisk (*).

First Name:	Last Name*:
Company:
Address*:
City*:	State: Zip Code:
E-mail:
VIN #*:
Trailer Model*:
Dealer Purchased From*:
Date Purchased*:	/ / (mm/dd/yyyy)
Primary Use: (Please check only one)	Landscaping Construction Agriculture Rental Other (Please Specify):
Why did you choose a Bri-Mar: (Please check all that apply)	Price Quality Availability Dealer Recommendation Owned a Bri-Mar Previously Other (Please Specify):

1080 South Main Street
Chambersburg, PA 17201

Telephone: 717-263-6116
Fax: 717-263-6479
1-800-732-5845
www.bri-mar.com