Corporate Headquarters
| 9353 Waxie Way | San Diego, CA 92123 | (800) 995-4466 |
www.waxie.com
Type of Business
Intended Uses (check all that apply)
Page 1-2
To be com-
pleted and mailed or faxed by the customer purchasing equipment. Return this warranty card
within ten days of purchase.
Purchased By:
Name: ____________________________________________ Title: _____________________________
Company: ___________________________________________________________________________
Street Address: _______________________________________________________________________
City: ____________________________________ State: ___________ Zip Code: _________________
Serial Number:
__________________
WAXIE VERSA
KV1750W
WAXIE VERSA II
KV1250W
KV2150
KV1750W
KV1715
KV1215
OMNIFLEX
Pump Box
OMNIFLEX Wet/
Dry Vac
School/University
Contract Cleaner
Office
Hospital/Health Care
Industrial
Other: _____________
Restroom Cleaning
Cleaning Around Machines
Classroom Cleaning
Floor Stripping
Stairwell Cleaning
Other: ____________
Kitchen Cleaning
Lockers & Showers
Carpet Extraction
Hallway Cleaning
Thank you for registering for our warranty program.
Please return completed forms to:
Kaivac, Inc.
401 S. Third Street
Hamilton, OH 45011
Or Fax to: (513) 887-4601
1.2 WARRANTY REGISTRATION FORM