REGISTER TO CLAIM WARRANTY Please use this form to register your intent to claim warranty on an Bapcor product. First Name(Required) Last Name(Required) Address(Required) Address 1 Address 2 Suburb State Australian Capital TerritoryNorthern TerritoryNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Postcode Mobile Number(Required)Email(Required) Password(Required) Enter Password Confirm Password Strength indicator Terms & Conditions(Required)By completing the registration you are accepting our Privacy Policy. I agree to the Privacy Policy.(Required)EmailThis field is for validation purposes and should be left unchanged.