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PRODUCT REGISTRATION CARD
Copy Máquinas Agrícolas Jacto S. A. - Urgent respond with in 30 days first class postage required
Original retail purchaser's copy
PRODUCT REGISTRATION CARD
Invoice number: Date: / /
Retailing dealer:
Phone:
City:
State:
Sprayer:
Model:
Series:
Sprayer No.:
Pump No.:
Original retail purchaser:
Address:
Phone:
City:
State:
Purchase date by the original retail purchaser: / /
The warranty is in force as of this date: / /
Retail purchaser signature:
Invoice number: Date: / /
Retailing dealer:
Phone:
City:
State:
Sprayer:
Model:
Series:
Sprayer No.:
Pump No.:
Original retail purchaser:
Address:
Phone:
City:
State:
Purchase date by the original retail purchaser: / /
The warranty is in force as of this date: / /
Retail purchaser signature: