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Wholesale Warranties Sign Up Information

Last Updated:

7/7/2020 4

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Your Name

First Name, Last Name

Your Address

Home Address, City, State, Zipcode

Phone Number

Mobile Phone

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to Wholesale Warranties.

FILL OUT FOR QUOTE...
Final Attempt for RV Protectio...

First Name:

Last Name:

Secondary Contact (Full Name):

Phone Number:

Contract Address:

RV Type:

VIN:

Year:

Make:

Model:

Mileage (If Applicable):

Are you the Original Owner of this vehicle?

Vehicle Purchase Date:

Is the unit currently under manufacturer warranty?

Address of Desired RV Inspection Location (If Applicable):

Who is your Warranty Specialist?

Additional Benefits:
	Please Select

	^* I understand that completing this form does not guarantee extended warranty coverage or pricing, and my policy will not begin until payment, vehicle qualification, and contract are completed.

Jocelyn LaClair
Warranty Specialist
Wholesale Warranties
Toll-Free: 800.939.2806

Raw Data Registration Structure Registration Form Text

Registration

Phone*

First name

Last name

Password

Phone (mobile)

Home address

City

State

Zipcode

Text Opt-In*

This is a textable number and I agree to receive information and updates via SMS text.

Please select

Homeowner?

Yes

NoIs the RV stored away from your home?

Yes

Is the RV permanently stationary?

Yes

Join our newsletter mailing list

Data Name	Data Type	Options
Phone*	Text Box
First name	Text Box
Last name	Text Box
Password	Text Box
Email	Text Box
Phone (mobile)	Text Box
Home address	Text Box
City	Text Box
State	Text Box
Zipcode	Text Box
	option	Text Opt-In*
	option	This is a textable number and I agree to receive information and updates via SMS text.
	dropdown	Please select
	dropdown	Please select
	button
	dropdown	Please select
	dropdown	Please select
	button
	button
	dropdown	Please select
	dropdown	Please select
	dropdown	Please select
	dropdown	Please select
	dropdown	Please select
	dropdown	Please select
	dropdown	Please select
	dropdown	Please select
	dropdown	Please select
	option	Homeowner?
	option	Yes
	option	NoIs the RV stored away from your home?
	option	Yes
	option	Is the RV permanently stationary?
	option	Yes
	checklist	Join our newsletter mailing list