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Light Warranty Registration

Please fill it out to Register Your new Light

First Name*

Last Name*

Street or PO Box*

City*

State/ Zip Code*

Phone Number*

Date of Purchase*

Email Address

Name of Dealer*

Light Model

6 V Box 12 V Box 9 V Belt 12 V Budget Belt 15 V Belt 17 V Budget Belt 21 V Budget Belt 21 V Belt 26 V Belt

Led Model

Tech 1 ,5 watt led head
Tech 2 Led Head
3.6 V Led Light
Bootlegger 4 Volt Cap Light
Bootlegger 8 Volt Cap Light
8 Volt Led Light
10 Volt Led Light
12 Volt Led Light
15 Volt Led Light
20 Volt Midget Led Light
21 Volt Led Light

Please enter the phrase as it is shown in the box above.   
2007 Moonshiner Lights

 
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