Warranty Registration Form

^* Body Serial Number

Unit In-Service Date

Dealer

Model

I ACCEPT DELIVERY OF THIS UNIT IN ITS CURRENT CONDITION. I HAVE RECEIVED THE OPERATORS, SERVICE AND PARTS MANUALS AND HAVE BEEN INSTRUCTED ON THE PROPER OPERATION AND SCHEDULED MAINTENANCE PROCEDURES ON THIS UNIT. I HAVE RECEIVED A COPY OF THE CURBTENDER WARRANTY AGREEMENT AND UNDERSTAND BOTH CURBTENDER'S AND MY RESPONSIBILITY UNDER THIS WARRANTY.

^* Fleet Manager Name

^* Title

^* Company Name

^* Fleet Location Address

^* Company City

^* State

^* Zip

^* Company Phone

Company Fax

^* E-Mail

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