Harmar Mobility VPL400-X - Warranty Registration

VPL400-X: Owner’s Manual
05MAY23 | 610-00103 A
17
WARRANTY
PRODUCT INFORMATION
Model:
Serial Number:
Purchase Date:
Installation Date:
INSTALLER INFORMATION
Company Name:
Contact Name:
Address:
Phone:
Fax:
Email:
APPLICATION INFORMATION
 Scooter  Power Wheelchair
 Wheelchair
Year:
Manufacturer:
Model:
PURCHASER INFORMATION
Name:
Address:
Phone:
Email:
ADDITIONAL INFORMATION
How did you hear about Harmar?
 Harmar Dealer
 Internet
 Magazine
Which:
 Friend or Acquaintance
 Saw Harmar product somewhere
 Other:
Do you have Internet access:  Yes  No
I purchased my Harmar li because of:
 Style/Appearance
 Harmar Representative
 Previous Experience
 Ease of Use
 Recommendation
 Price/Value
PLEASE FILL OUT ALL FIELDS AND RETURN WITHIN TEN (10) DAYS OF PRODUCT INSTALLATION.
Fax completed form to 1-866-234-5680 or mail to:
Harmar, ATTN Warranty Department, 1500 Independence Blvd., Suite 220, Sarasota Florida 34234.
WARRANTY
HIGHLANDER 400-X: SECTION 7