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REGISTER NOW
Complete this form to register for the K40 speeding ticket warranty program. Note: When applying for reimbursement, you must send a copy of your proof of purchase (a dated sales receipt) for your K40 Radar/Laser Detector, a copy (not the original) of the speeding ticket, and proof of ticket payment - copy of cancelled check (both sides), money order, or court receipt. All information provided to K40 will remain confidential.
 
required *
*First Name
*Last Name
*Street Address
Address 2nd Line
*City
*State
*Zip/Postal Code
*E-mail
*Daytime Phone
*Product(s) Purchased
(select all that apply)







*Total Price Paid
*Date of Purchase
*Name of Dealer
*Dealer Zip/Postal Code
The primary vehicle your K40 system will be used in.
*Vehicle Make
*Vehicle Model
*Vehicle Year
*Where did you first hear about K40? 




If Other, please specify:  
Additional Comments