Inquire for the Equipment Repair Program Please fill out the form below to inquire for the Equipment Repair Program today. Once we have received your information one of our knowledgeable Account Managers will contact you with the next steps. First Name *Last Name *Email Address *Phone *Equipment (Year/Make/Model) *Component Coverage *Select a coverage optionTier 1 (65 Components)Tier 2 (186 Components)Tier 3 (499 Components)Term Length *Select a term length6-months (Tier 1 & 2 only)12-months24-months36-months48-monthsHTMLBy pressing the button below, you agree to our privacy-policy which can be found at https://mintage.com/privacy-policy/ Terms and conditions may apply. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.Completed Information Request