WARRANTY REGISTRATION FORM
***COMPLETE FORM IMMEDIATELY AND FAX BACK TO (886)901-3335***
DISTRIBUTOR:________________________________________________________ SERIAL NUMBER:_________________
LOCATION (CITY, STATE):_________________________________________
INSTALL DATE:____________________
CUSTOMER:_____________________________________________________ HOUR METER:____________________
CONTACT:______________________________________________________ INSTALLED BY:___________________
ADDRESS:_______________________________________________________
CITY:_______________________STATE_______ZIP______________________
PHONE:_______________________ FAX:__________________________
FACTORY CAT MODEL NUMBER:_______________________________________
OPTIONS: 1.______________________________________ 4.______________________________________
2.______________________________________ 5.______________________________________
3.______________________________________ 6.______________________________________
PADS:_____________________________________________
BRUSHES:__________________________________________
SQUEEGEE SIZE:____________________________________
SIDE BROOMS:____________________________________
BUYER'S REPRESENTAVE HAS:
1. RECEIVED INSTRUCTION IN PROPER OPERATION OF THIS MACHINE.
2. RECEIVED OPERATOR'S MANUAL FOR THIS MACHINE.
3. BEEN MADE AWARE THAT ANY OPERATOR SHOULD READ THE MANUAL
BEFORE OPERATING THIS MACHINE.
DISTRIBUTOR REP. PRINT:___________________________________ SIGN:__________________________________
CUSTOMER PRINT:_________________________________________ SIGN:__________________________________
R.P.S. CORPORATION
P.O. BOX 368
RACINE, WI 53401
PHONE: 800-634-4060
FAX 866-901-3335
WWW.FACTORYCAT.COM
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