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Technical Support Request Form

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Please complete the following Technical Support Request Form so we can better serve you:
( * indicates required field.)
Have you referred to the Troubleshooting section of the website?Yes    No 
How can we help you? *
Which product are you inquiring about?
Have you recently purchased a Surrette/Rolls Battery from a local distributor or dealer?Yes    No 
Have you contacted them for assistance with the product?Yes    No 
Has the battery been installed?Yes    No 
Has the battery been charged?Yes    No 
Has the battery been equalized?Yes    No 
How would you like us to contact you? *Phone    Email 
Your Name: *
Company:
Email: *
Phone: *
Question / Comments:


 Click here to download the Warranty Claim Form (PDF)