WARRANTY REGISTRATION FORM
and INSPECTION REPORT
UNIT INSPECTION
SAFETY INSPECTION
£
All Fasteners Tight
£
All Guards/Shields Installed and Secured
£
Engine Fluid Levels Checked
£
All Safety Decals Clear and Legible
£
Driveline Secured to Machine
£
Reflectors, Slow Moving Vehicle (SMV) Sign Clean
£
Drive Belts Aligned and Tensioned
£
All Lights Clean and Working (if trailer equipped)
£
Machine and All Bearings Lubricated
£
Safety Chain on Hitch (if trailer equipped)
£
Conveyor Belt Aligned and Tensioned
£
Reviewed Operating and Safety Instructions
£
Tire Pressure Checked (If trailer equipped)
I have thoroughly instructed the buyer on the above described equipment. The review included the content
of the Operator’s Manual, equipment care, adjustments, safe operation and the applicable warranty policy.
Date _______________________
Dealer’s Signature ______________________________________________
The above equipment and Operator’s Manual have been received by me. I have been thoroughly instructed as
to care, adjustments, safe operation and applicable warranty policy.
Date _______________________
Buyer’s Signature _______________________________________________
The Dealer must fill out this form. It is to be signed by both the Dealer and Buyer at the time of delivery.
Scan or photograph the completed form (be sure it is legible). Email it to: [email protected]
A copy of this form may also be mailed to Convey-All Industries Inc, at the above address.
Buyer’s Name ________________________________
Dealer’s Name ________________________________
Address ______________________________________ Address
_____________________________________
City __________________________________________ City
_________________________________________
Province/State ________________________________ Province/State
_______________________________
Postal Code/Zip Code _________________________
Postal Code/Zip Code _________________________
Country ______________________________________ Country
_____________________________________
Phone Number ________________________________
Phone Number ________________________________
Unit’s Model Number __________________________
Unit’s Serial Number __________________________
Delivery Date _________________________________
General Purpose:
£
Private
£
Commercial
CONVEY-ALL INDUSTRIES INC.
130 CANADA STREET
WINKLER, MANITOBA R6W 0B3
TF: (800) 418-9461 FX: (204) 325-8116
www.convey-all.com