S3 0312FC, Operator'S Manual, Page: 56 / 58

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WARRANTY REGISTRATION FORM & INSPECTION REPORT
Warranty Registration
This form must be filled out by the dealer and signed by both the dealer and the customer at the
time of delivery.
Customer’s Name: _____________________
Dealer’s Name: ________________________
City, State/Prov.,Code: __________________ City, State/Prov.,Code: __________________
_____________________________________ _____________________________________
Cellular Phone Number: _________________ Cellular Phone Number: _________________
Email Address: ________________________ Email Address: ________________________
Model Number: _______________________
Serial Number: ________________________
Delivery Date: _________________________ Application: ___________________________
Private
Commercial
Dealer Inspection Report
____ Shields Installed and Secured
____ Safety Decals Installed
____ Manual Supplied
I have reviewed the safety decals with the buyer and have confirmed that they and any operators
will review the Operator’s Manual. I have also reviewed the applicable Warranty Policy with the
buyer.
Date: ________________________________ Dealer’s Rep. Signature:____________________
The above equipment and Operator’s Manual have been received by me and I have reviewed the
safety decals and confirm that I and any operators will review the Operator’s Manual. I have also
reviewed the applicable Warranty Policy.
Date: ________________________________ Owner’s Signature:________________________