BIOS Sprint 8.0 - Buyers Registration Form

16975 Leslie Street Newmarket, ON L3Y 9A1 PHONE: 905.952.3731 • www.biosliving.com
BUYER’S REGISTRATION FORM
Mobility Scooter
NOTICE: COMPLETE THIS FORM AT TIME OF SALE TO REGISTER
WARRANTY.
Customer Name: ___________________________________________
Address: __________________________________________________
City: _________________ Province: ___________________________
Postal Code/ZIP: _____________
Telephone: ______________ Date of Purchase: _________________
Selling Dealer: ____________________________________________
Dealer Address: ___________________________________________
City: _________________ Province/State: ______________________
Dealer Phone: __________________ Fax: ______________________
Model 60005 60006 Other:_______
Serial Number: _________________ Colour: ___________________
45