Braille Product Registration Custom Battery Application

For full warranty coverage you must register your product within 30 days from purchase date printed on reciept.  Please simply complete and submit this form or fax to +1-941-870-3381.  Thank you for choosing Braille Battery.

  • Customer Info

    Please fill in the required information
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  • Product & Order Information

  • Vehicle Information

    Answer The Following Where Applicable
  • Working condition
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