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BRSG105K REV A
| 23
Brave
Product Re
gistra�o
n Form
YOUR INFORMATION
Full Name:
Last
First
M.I.
Address:
Street Address
Apartment/Unit #
City
State
ZIP Code
Home Phone:
Alternate
Phone:
PURCHASED FROM
Company:
Address:
Street Address
Apartment/Unit #
City
State
ZIP Code
MODEL INFORMATION
Purchase Date
Applica
�
on Type
□
Homeowner
□
Commercial
□
Rental
Model
(i.e. BRPT704H)
Serial #
(i.e.
)
BRPT704HA123456
Signature
Register your product online at www.braveproducts.com