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VIN (POWERCHAIR INDIFICATION NUMBER)
To ensure the correct after sales, service and warranty service
support, please write down the power chair identification number
found on the rear right-hand side of the frame.
……………………………………………
……………………………………………
……………………………………
Warranty Application Form
Name
Date of Birth
Year Month Day
Address
Model
Power chair VIN:
VIN
Motor Serial No:
Controller #
Date of Purchase
Year Month Day
Purchaser Signature
9. W ARRAN T Y
Model Sunfire
Plus
GT
VIN
Motor serial #
Controller #
Identification Number