J&L Warranty Pros Product Order Form

For assistance with completing this form

> Call: 1.800.852.6298
> Email: customer service

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Product Order Form

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* 1. Select your product(s) of interest and quantity:
Product	Version	Price	Quantity
Part Group to Labor Op Guide	GM	$45.00
Recall Summary	GM	$45.00
Recall Summary	Chrysler	$45.00
Warranty Tips	GM	$10.00
Warranty Tips	Chrysler	$10.00
Warranty Operations Manual	GM	$89.00
Warranty Operations Manual	Chrysler	$89.00
Labor Operation Add-On Guide	GM	$45.00
Loaner Car Log	GM	$10.00
Warranty Stamps
Authorization Code Stamp	GM	$30.00
Authorization Code Stamp	Chrysler	$30.00
Shuttle Stamp	GM	$30.00
Add-on Repair Stamp	GM & Chrysler	$30.00
Rental Stamp	GM & Chrysler	$30.00
Laminated Quick Reference Warranty Help Cards
GM Complaint/Failure Codes	GM	$5.00
Transportation Damage Codes	GM	$5.00
GM Rental Calculator	GM	$5.00
GM Rental Allowance Guidelines	GM	$5.00
GM Sublet Repairs "Policy S"	GM	$5.00
GM Diesel Warranty Coverage D	GM	$5.00
GM Pre-Delivery Inspection Chart (Cars & Trucks)	GM	$5.00
Concern Not Duplicated	GM	$5.00
Repair Order Checklist	GM	$5.00
GM Supporting Documentation List Card	GM	$5.00
Chrysler Failure Codes	Chrysler	$5.00
Chrysler Transportation Damage Codes	Chrysler	$5.00
Chrysler Operation Diagnostics Reference Card	Chrysler	$5.00
Chrysler Remanufactured Parts For Warranty Use	Chrysler	$5.00
Chrysler Carline Conversion Chart	Chrysler	$5.00
MOPAR Parts Chart to Lubricant Cross Reference	Chrysler	$5.00
Chrysler Wiring Repair Diagrams for FWD & RWD	Chrysler	$5.00
Chrysler Electronic NTF Diag Lops Card	Chrysler	$5.00
Sub Total
Shipping & Handling 1-9 items = $3.85, 10+ items = 5% of order
Sales Tax (MI only)
Total

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2. Contact information
* First Name:	* Last Name:
Title:	Other:

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3. Company information:
* Company Name: * Mailing Address: * City:
* State/Province:	* Phone:
* Zip:	Phone Extension:
Email:	Fax:
Shipping Address (if different from mailing): City:
State/Province:	Zip:

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4. Reason for interest in this product:

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* 5. Discounts: If you received a direct mail piece please provide the offer code to apply any applicable discounts.
OC# (Found near phone # or mailing label)
If you didn't receive a direct mail piece (postcard / letter / flyer), how did you know to seek J&L Warranty Pros for help?
		Other:

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6. Payment Options
I will fax a check to 800.909.5678 for payment (must be received within 2 days of this order.)
Call me for credit card	A.M. or P.M.
Charge my credit card
Credit Card Number
Credit Card Security Code
Name on card
Expiration Date (mm/yy)