ProCharger Extended Coverage Program Registration Form
cut along the dotted line
cut along the dotted line
Name:
_________________________________
Address:
_______________________________
City:
___________________________________
State:
________________
Zip:
____________
Daytime phone:
_________________________
Evening phone:
_________________________
E-mail:
_________________________________
Age
18 - 24
25 - 34
35 - 44
45 - 54
55 and up
Income
$15,000 - $29,000
$30,000 - $44,000
$45,000 - $69,000
$70,000 and up
What magazines do you read?
Car & Driver
Car Craft
Chevy High Performance
Four Wheel and Off Road
Hot Rod
Motor Trend
Muscle Mustangs and Fast Fords
GM High-Tech Performance
5.0 Mustang
Super Street
Mustang Monthly
Truck Trends
Popular Hot Rodding
Road & Track
Super Chevy
Truckin’
Street Truck
Date of Purchase:
_______________________
Purchased From:
_______________________
ProCharger Serial #:
_____________________
Vehicle Year:
___________________________
Vehicle Make:
__________________________
Vehicle Model:
_________________________
Please rank in order of importance starting with
1 being most important.
Which information sources most influenced your
decision to purchase a ProCharger system?
___ Magazine advertising
___ Dealer recommendation
___ ProCharger Brochures
___ Witnessed performance on a car
___ Test drive
___ Magazine editorials
___ Friends
___ Conversations with ATI technicians
___ Web Site (please specify)___________
___ Other (please specify)__________
What most influenced your decision to purchase a
ProCharger system?
___ Reliability
___ Standard warranty
___ Extended coverage warranty
___ Performance
___ Quiet operation
___ Removability (ability to return car to stock)
___ Cost
___ Ease of Installation
Who installed your ProCharger system?
Self
Dealer
Other ________________________
Have you own a forced induction system previously?
Yes
No
If yes:
Supercharger: Brand(s)_______________________
Vehicle(s)_____________________________
Turbocharger: Brand(s)_______________________
Vehicle(s)_____________________________
I have read and understand the policy for the ProCharger Extended Coverage Program. I have
not and will not modify my ProCharger supercharger in any way during my participation in
the extended coverage program. I have read and answered all questions on this form. I have
enclosed my check for $49, payable to ATI, for enrolling my ProCharger supercharger (serial
number indicated above) in the extended coverage program for an additional twenty-four (24)
months beyond the standard limited warranty period of twelve (12) months.
Signature_____________________________________________ Date_____________________
Mail this completed registration form with a $49 check to ATI at: 14801 West 114th Terrace,
Lenexa, KS 66215. If you have any questions, contact us at
or
(913) 338-2886 8:30 AM - 5:30 PM CST, Monday - Friday.
Return this completed form and a $49 check within 30 days of original purchase.
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