Coating registration – SX TECHNOLOGIES

Your name *

First

Last

Your e-mail *

Detailer number e-mail

Your phone number

Phone number please indicate including the country code (CountryCode-PhoneNumber)

Country *

Select your country from the drop-down list

Detailer *

Please provide the information indicated on the card in the field "Detailer"

Detailer's phone number *

Please provide the information indicated on the card in the field "Phone number" (CountryCode-PhoneNumber)

Make *

Car brand. Please provide the information indicated on the card in the field "Car, Model".

Model *

Please provide the information indicated on the card in the field "Car, Model"

Car plate number *

Please provide the information indicated on the card in the field "Plate number"

Odometer (km) *

Please provide the information indicated on the card in the field "Odometer (km)"

1st layer *

MARK 7
MARK 5
MARK 3
MARK 1

Please select (check) only one box as it is on your SX PRO+ COAT CARD

2nd layer

MARK 7
MARK 5
MARK 3
MARK 1

Please select (check) only one box as it is on your SX PRO+ COAT CARD. Leave this column unchecked if there is no check mark for the 2nd layer on the card.

3rd layer (optional)

MARK 7
MARK 5
MARK 3
MARK 1

Please select (check) only one box as it is on your SX PRO+ COAT CARD. Leave this column unchecked if there is no check mark for the 3rd layer on the card.

Date: *

Date of coating application indicated on the card in the field "Date"

Comment or Message

Please describe your experience in a few words. Your ideas and suggestions are always welcome!