30
City
____________________________________ State ________ Zip ________
Additional Required Owner Information
Please indicate your understanding of your scooter by completing the following information.
________ I have read and fully understand
_______ Owner’s Manual, especially sections on operating instructions, safety guidelines,
maintenance
and
battery
instructions.
_______
Scooter
Warranty
Battery Instructions – only sealed lead acid or gel cell type batteries should be
used. Batteries must also be sealed, deep cycle, and maintenance free or battery
will hinder vehicle performance and void the warranty.
_______ My dealer has instructed me on how to operate my scooter.
Signature ______________________________
Dealer Name
___________________________
Telephone (____) ________________________
Dealer Phone
(____) _____________________
Email Address _____________________________________________________________________
Comments: __________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
WARRANTY APPLICATION FORM
Name
Sex
口
Male
口
Female