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):

(antispam code, 3 black symbols):

1080 South Main Street
Chambersburg, PA 17201

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