34
Serial Number of Xenon Lamp_____________
P
URCHASE
N
OTIFICATION
XR Series Figure # 9565000
500 Watt Xenon Lamp for Marine Searchlights
This document, when properly completed by an authorized distributor / dealer for products
manufactured by Perko, Inc., will satisfy the proof of date of original purchase requirement in
the limited eighteen (18) month warranty for XR Series 500 watt Xenon lamps for marine
searchlights.
Purchase Price: ______________________________________________________________
Date of First Retail purchase: __________________________________________________
First retail Purchaser (Name): __________________________________________________
Authorized Distributor / Dealer: __________________________________________________
Intended User (motor vessel name/other):
________________________________________
Printed name & signature of Distributor / Dealer:
__________________________________
__________________________________
Date Completed: ______________________
This form must be completed and returned by an authorized distributor for products manufac-
tured by Perko within thirty (30) days of the first retail purchase. Mail or fax to:
PERKO, INC
16490 N. W. 13th Ave.
Miami, FL 33169-5707
Fax: 1-(305)-620-9978
Phone: 1-(305)-621-7525
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