SAMPLE
WARRANTY
7
12/150_23136591
−
C en
PORTABLE POWER
EXTENDED WARRANTY REGISTRATION FORM
Customer Details
Service Provider Details
Company Name :
Service Provider / Distributor :
Contact Name :
Branch Office :
Signature :
Company Address :
Machine Details
Product Type :
Model :
Serial Number :
Engine Serial Number :
Engine Model Number :
Post / Zip Code :
Airend Serial Number :
Country :
Alternator Serial Number :
Phone Number :
Date of start up :
Fax Number :
e
−
mail :
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