Basic Equipment - Warranty- 634743

Warranty Registration
RECORD OF OWNERSHIP

Attention Dealers & Customers!

Warranty registration must be submitted within 5 days of purchase or placement in rental fleet to avoid any lapse in warranty coverage!

*dealers placing units in rental fleet, please fill out same as customer, and indicate "rental fleet" on customer line*
Customer Information
Date Of Purchase/First Use*

MonthDay Year
Date
Customer Name*

Or Rental Fleet for dealers
Customer Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number*

Area Code Phone Number
Email
example@example.com
Dealership Name*
Dealership Location*
Equipment Information
Model #*
Serial #*
Hours At Purchase
Should be Empty: