Please provide the following personal information: 

Note, this information is required for validation only and will not be shared with Yamaha or any other parties unless permission is specifically granted (see below).  Fields marked with a * means that it is a required field.

      First Name *
       Last Name *
  Street Address 
 Address (cont.) 
            City 
  State/Province 
 Zip/Postal Code 
         Country 
          E-mail 
             

Please provide the following information about your motorcycle:

Year   Select Model Year 1999 2000 2001 2002 2003*
Model Select ModelVstar 1100 CustomVstar 1100 ClassicVstar 1100 Silverado *

Warranty  (select one)Yamaha Extended Warranty in effectStandard factory warranty in effectNo warranty in effect currently *

Current Mileage  * 
Date of Manufacture (mm/yy) * 
VIN 

Dealer and Location of Purchase 

Please describe current status of your starter:

Select one My starter appears to be normal and I will monitor the situation My starter is defective as defined by twisted starter bolts. Starter was defective but has been repaired/replaced *

What action has been taken to date?

Select one None taken, starter appears normal. My starter is twisted but functional. No action taken yet. I have presented the bike to a dealer for remedy. I have fixed or replaced the starter. No dealer involved *

If brought to a dealer, what was the response? 
Check all boxes that apply:

My starter was fixed or replaced under warranty
I was told starter was not covered because of mileage or age
Dealer stated there is no history or they are unaware of a problem.
I have fixed or replaced the starter myself.
Bike is disabled awaiting further action
Dealer has bike and is processing claim

Name of repair facility, City, State. (or self)

If the bike was repaired, what was the cost of the repair?

What was approximate mileage at time of failure?

When was the starter serviced?:

-- mm/dd/yy

Please give a brief description of the repair or any relevant comments

Do you grant permission for your personal data to be forwarded to Yamaha Corporation?

Select one Yes, my information can be forwarded to Yamaha for action. No, please only use my information for statistical compilation. *

Thank you for taking the time to participate in this survey