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First Name:
Last name:
Address:
City:
State/Province:
ZIP/postal code:
Country:
Phone: ( )
Email:
Model:
Serial number:
Date of sale (MM/DD/YY):
Dealer name:
Notes:
OWNER’S RECORD
Please fill out the following Warranty Registration for your records and mail a copy of the Warranty Card to OHM Cycles, or register on-line.
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