Checkout

TotalCare Customer Registration

Customer Name (the “Service Contract Holder”) *

Driver’s License

Address

City

State

Zip

VIN Number *

Year *

Make *

Model *

(these are the makes that are not eligible for this service)

Mileage *

Phone *

Bill To

Billing address is the same as registration address

First Name

Last Name

Address

City

State

Zip

Your Order

3 Year Plan	$988.00
Total for this order	$988.00
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**60-Day Money-Back Guarantee**

I have read and agree to the Wrench TotalCare Terms and Conditions. * * By checking this box, you acknowledge that you understand and accept the terms of the Wrench TotalCare program, including service limitations, cancellation policy, and warranty information.

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