Warranty Claim Registration Form Name * First Name Last Name Warranty Agreement Number * Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Current Odometer Reading * Please Select the Category of Claim * Engine Transmission Suspension Exhaust Steering Braking System In Car Entertainment Electrical System Fuel System Engine Cooling System Other If you have selected 'OTHER' please provide more specific details below Please outline and describe the reason for your claim, including any symptoms experienced and when * I have read and understood Motor Mart's warranty & repairs terms and conditions. By filling in this form I accept and agree to Motor Mart's warranty & repair terms and conditions. * I accept ✔ APPLICATION SUCCESSFUL.Your request has been successfully submitted and you will shortly receive an email confirming receipt of the details you have provided. The Customer Service Team will be in touch in due course.If you have not received any contact within 24 working hours ( Mon - Fri ) please resubmit a request or contact the team on help@themotormart.co.uk quoting the registration of your vehicle in the subject heading.