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PLEASE FILL OUT THIS FORM COMPLETELY AND RETURN TO TORKLIFT WITHIN
30 DAYS OF PURCHASE ACCOMPANIED BY A COPY OF YOUR ORIGINAL RECEIPT
1. PART(S) PURCHASED
2. PURCHASER INFORMATION
3. TRUCK INFORMATION
YEAR: ______________
MAKE: _________________
4. CAMPER INFORMATION
YEAR: ___________ MAKE: _______________ MODEL: ________________
5. DEALER INFORMATION
PURCHASED FROM: ______________________________________________
CITY: _________________ STATE: _____ ZIP / POSTAL: ______________
INSTALLED BY:
OWNER ABOVE DEALER ANOTHER DEALER
IF ANOTHER DEALER, WHO: _______________________________________
PART#: ___________________ PART#: _______________________
OFFICIAL WARRANTY REGISTRATION CARD
PART#: ___________________ PART#: _______________________
NAME: _____________________________________________________________
EMAIL: ______________________________
ADDRESS: __________________________________________________________
CITY: _________________ STATE: _____ ZIP / POSTAL CODE: ______________
PHONE: ( ) -_________
MODEL:_____________ BED LENGTH: ___________
ADDRESS:______________________________________________________
TODAY’S DATE: _________________________
Содержание A7770
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