www.horsch.com
Machine Registration Form:
HORSCH’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:
Mapleton, ND 58059
Fax: 701-532-1101
Machine Product & Model: __________________________
New Machine Final Sale – Initial use
Customer’s Machine – Transfer
Serial Number: ___________________________________
Demonstration Machine – Initial use
Sold Date: _______________________________________
In Service Date:
Est. Acres: ____________________
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: _____________________________________
City/State/Zip: ________________________
City/State/Zip: _________________________________
County: _____________________________
County: ______________________________________
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.
