Windsor Dri-Matic, User Manual

Page: 15 / 16

Machine Registration Card
IMPORTANT: Card must be fi lled out COMPLETELY and returned to
receive an additional 90 days on your warranty. You may also register
on line at www.windsorind.com/Windsor Warranty Reg. shtm
Windsor
1351 W. Stanford Ave. Englewood, CO 80110 USA (303)-762-1800 800-444-7654 FAX (303)-865-2794
COMPANY/INSTITUTION
NAME
TITLE
ADDRESS
CITY STATE ZIP
PHONE FAX
DATE OF PURCHASE
TYPE OF FACILITY
(Circle one)
HT
(Hotels)
S
(Schools)
N
(Nursing Homes)
HP
(Hospitals)
C
(Contractors)
O
(Other): _________________________________________________________
HOW OFTEN
WILL YOU USE
LIST MACHINE PURCHASED FROM THIS MACHINE?
_______________________________ __________________________________________
MODEL NUMBER DISTRIBUTOR
_______________________________ __________________________________________
SERIAL NUMBER CITY
_______________________________ __________________________________________
MODEL NUMBER DISTRIBUTOR
_______________________________ __________________________________________
SERIAL NUMBER CITY
_______________________________ __________________________________________
MODEL NUMBER DISTRIBUTOR
_______________________________ __________________________________________
SERIAL NUMBER CITY
_______________________________ __________________________________________
MODEL NUMBER DISTRIBUTOR
_______________________________ __________________________________________
SERIAL NUMBER CITY
D
(Daily)
W
(Weekly)
M
(Monthy)
(Circle one)
D
(Daily)
W
(Weekly)
M
(Monthy)
(Circle one)
D
(Daily)
W
(Weekly)
M
(Monthy)
(Circle one)
D
(Daily)
W
(Weekly)
M
(Monthy)
(Circle one)
Windsor Distributor, complete the following:
Sales Rep Name ________________________________________________________
Phone Number ________________________________________________________
8.627-016.0
PRV NO . 98823
EMAIL
_______________________________ __________________________________________
@
A member of
INNOVATIVE EQUIPMENT SOLUTIONS
Art.-No.06113, 08/2007