horsch 24591253, Owner'S Manual

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Machine Registration Form: Customer’s Copy
NOTE: No Warranty Claims will be accepted if this Machine Registration Form is not returned!
To:
HORSCH, LLC
200 Knutson St. SE Tel: 701-532-1000 Email: service.us@horsch.com
Mapleton, ND 58059 Fax: 701-532-1101
Machine Product & Model: __________________________ New Machine Final Sale – Initial use
Customer’s Machine – Relocation
Serial Number: ___________________________________ Demonstration Machine – Initial use
Demonstration Machine – Relocation
Sold Date: _______________________________________ Demonstration Machine Final Sale – Use
In Service Date: ___________________________________
Operating Instructions:
I hereby confirm receipt of the Owner’s Manual and Parts Catalog for the above mentioned machine.
I have been instructed and informed by a
HORSCH factory trained Service Technician / authorized Dealer
representative in the operation and functions of the machine, as well as in the safety requirements.
________________________________________________
Name of the Service Technician / Dealer representative
Dealer Customer
Name: ______________________________ Name: _______________________________________
Address: ____________________________ Address: _____________________________________
Postal Code: _________________________ Postal Code: __________________________________
Location: ____________________________ Location: _____________________________________
Tel: ________________________________ Tel: _________________________________________
Fax: ________________________________ Fax: ________________________________________
E-mail: ______________________________ E-mail: ______________________________________
Customer No: _________________________ Customer No: _________________________________
I am aware that a Warranty Claim will only be valid if, after the receipt of the machine, this form has been
fully completed, signed and returned to
HORSCH, LLC .
______________________________________ ______________________________________
Place, Date
Customer’s Signature
NOTE: After Signing, remove and/or copy this page. Keep signed delivery checklist in machine file at the dealership.
Machine Registration Form – Version 1.0 12/2014
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