3510 AGRIVAC -VAC MODELS GAS & ELECTRIC
Warranty Registration Form & Inspection Report
WARRANTY REGISTRATION (3 part form - please print)
This form must be filled out by the dealer and signed by both the dealer and the customer at the time of delivery.
Delivery Date: mm / dd / yyyy
COMPANY / CUSTOMER NAME
DEALER NAME:
Phone:
Phone:
Mobile phone:
Mobile phone:
Email : @
Email : @
Street Address:
Street Address:
City: Prov/State
City: Prov/State:
Postal/Zip: Country
Postal/Zip: Country:
Machine Serial Number
Blower Serial No.
Airlock Serial Number
DEALER INSPECTION REPORT
SAFETY
Blowers and Airlock Turn Freely
Guards Installed and Secured
Air Line Connections Tight
All Safety Signs Installed
Check Tire Pressure
Reflectors and Signs Clean
Wheel Bolts Tight
Review Operating and Safety Instructions
Lubricate Machine
Operating Manual Supplied
Check Oil Level in Reservoirs
Belts are Tight
O-Rings in Place
I have thoroughly instructed the buyer on the above described equipment which review included the Operator’s
Manual content, equipment care, adjustments, safe operation and applicable warranty policy.
Date
____________________
Dealer's Rep. Signature
_________________________________________
The above equipment and Operator’s Manual have been received by me and I have been thoroughly instructed as to
care, adjustments, safe operation and applicable warranty policy.
Date
___________________
Owner's Signature
________________________________________
199 05042016
WHITE
YELLOW
PINK
3 Part Form
Please Print
WALINGA
DEALER
CUSTOMER
Содержание Agri-Vac 3510
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