SAMPLE
WARRANTY
10
9/230, 9/270, 9/300, 12/235, 17/235, 21/215, 9/230HA, 9/270HA, 9/300HA, 12/235HA, 17/235HA, 21/215HA
PORTABLE POWER
EXTENDED WARRANTY REGISTRATION FORM
Customer Details
Service Provider Details
Company Name :
Service Provider / Distributor :
Contact Name :
Branch Office :
Signature :
Company Address :
Machine Details
Product Type :
Model :
Serial Number :
Engine Serial Number :
Engine Model Number :
Post / Zip Code :
Airend Serial Number :
Country :
Alternator Serial Number :
Phone Number :
Date of start up :
Fax Number :
e–mail :