Please mail to:
Dover Fueling Solutions
Attn: Warranty
3814 Jarrett Way
Austin, TX 78728
WARRANTY REGISTRATION
The equipment used at this site must be registered prior to contacting DFS for warranty service. Sites can be pre-registered prior to installation by a DFS Authorized Service
Organization (ASO) via the on-line registration system OR through completing this form (information in Section 1) and sending it to DFS (for non-ASOs). Pre-registration of a site
helps to expedite warranty service in case it is needed. Please allow 2-3 days after receipt of the information for pre-registration. Final registration, which requires all of the
information pertaining to the site including Start-Up date and equipment serial numbers, must be completed within 7 days of the completion of the Start-Up using the same
aforementioned methods. If submitting via this paper form, you may Fax to 512-388-8595 OR e-mail to warranty.administration@doverfs.com OR mail to the address below.
Section 1
End User Company Name
Equipment Location (Site Name)
Address
City, State, Zip Code
Phone (______) ______________________________________
Section 2
Start-Up Date _________________________________________
Model Number Serial Number Model Number Serial Number
Comments
Form No. 917653-003 Rev B
Notes
1. Any replacement parts and service must be performed by a DFS ASO. If you are not an ASO, you must call 1-800-289-2963 to get service. Any parts and service, performed by an
ASO, associated with the start-up should be reported on Service Report Form No. 917652 and attached to this report.
2. Use additional forms as necessary to list all equipment.
3. All information must be supplied/ completed.
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