6146 Service Bulletin

6146 Service Bulletin
Demco Hijacker Autoslide

Customer Information

Full Name *

First Name Last Name

E-mail *

Address *

Phone Number *

Area Code Phone Number

Serial Number *

I hereby acknowledge that I have received and installed the 6146 Kit on my Demco Hijacker Autoslide. *

Yes No

Date of Repair *

Month Day Year Date Picker Icon

Dealer Autoslide was purchase from:

Dealer Name *

Dealer Address

Address for reimbersement:

Dealer Name

or

Customer Name

First Name Last Name

Phone Number *

Area Code Phone Number

E-mail

Address *

Attach W-9 Form *

Dont have W-9 form?

Please download W-9 form from: http://demco-products.com/service-and-support/technical-bulletin/18k-autoslide-5th-wheel-hitches

Enter the message as it's shown *