5/19/10
WARRANTY REGISTRATION
SERIAL #
___________
INV.
DATE:
_________
DISTRIBUTED BY:
________________________________
ADDRESS: ______________________________
CITY: _______________ STATE: _____ ZIP:________
CUSTOMER INFORMATION
COMPANY NAME:
________________________
CONTACT: _______________________
PHONE NUMBER: ________________
ADDRESS: _______________________
CITY: ________________ STATE: _____ ZIP: _________
Please remit above form to:
Quality Lifts
P.O. Box 3972
Louisville, KY 40201
(877) 771-5438 office
(502) 583-5488 fax
This form must be received for warranty to become effective!
