REGISTRATION INFORMATION
(To validate your warranty and receive updated service bulletins, please complete this form)
Date_______________ Model No.________________ Serial No._______________
How did you first hear of Lift Products?
____Magazine Ad (Specify which magazine)______________________________________
____Recommended by a dealer (Name of Dealer)__________________________________
____ Received information in the mail
____Internet
____Other (Please specify)_____________________________________________________
What factors caused you to choose Lift Products?_______________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Describe how and where products are being used?_______________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Name of person completing this form_________________________________________________________
Title___________________________________________________________________________________
Company_______________________________________________________________________________
Street Address___________________________________________________________________________
City, State, Zip___________________________________________________________________________
Phone________________________ Fax No.___________________________________________________
Purchased From:
Name of Dealer__________________________________________________________________________
Street Address___________________________________________________________________________
City, State, Zip___________________________________________________________________________
Phone No._____________________Fax No.___________________________________________________
Please fax this form to 262-521-5725.