Warranty Registration Form

Owner Information

Your E-Mail address (*)
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First Name (*)
Required: Please enter your first name.
Last Name (*)
Required: Please enter your last name.
Street Address
Required: Please enter your street address.
City (*)
Required: Please enter your city.
State / Province (*)
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Other
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Zip / Postal (*)
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Country (*)
Required: Please select your Country.
Telephone (*)
Required: Please enter your phone number it can be a mobile or a land line.
Comments (optional)
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Purchase Information

Your Kayak Model (*)
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Your Kayak Color (*)
Required: Please select your kayak's color.
Kayak Serial Number (*)
Required: Please enter your Kayak's serial number exactly as it appears on your boat with no spaces. Serial numbers begin with CA-YGD, followed by 5 digits, then one letter from A to L, then ending with 3 digits.
Example: CA-YGD00111B808
S/N is found on the right side edge of the stern deck.
Date Purchased (*)
Required: Please select the day you bought your kayak.
Where did you first hear of Delta Kayaks?






Please select all that apply.
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If you've seen us in a Magazine select which one.



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Dealer Information

Dealer's Name (*)
Required: Please enter the Dealer's store or business name.
Dealer's Address (*)
Required: Please enter the Dealer's store address.
Dealer's city (*)
Required: Please enter the Dealer's city.
Zip / Postal (*)
Required: Please enter the Dealer's Zip / Postal code.
State / Province
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Dealer's Country (*)
Required: Please select the Country your Dealer is in.
Enter security code

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