Haulotte HA20RTJ - Owner Information Update Form

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4000715370
E 06.18 - V2
USA / GB
HA20RTJ - HA20RTJ O - HA20RTJ PRO - HA61RTJ O - HA61RTJ PRO
A - Foreword
5.1.2 - Owner information update form
Owner information update form
Complete this form and mail or fax it to :
HAULOTTE® subsidiary Name : Address 1 :
Fax : Address 2 :
e.mail address : Address 3 :
Product information :
Model : Machine serial number :
Owner / Servicing information :
Do not include leased or rented units in this form
Current product owner 1 : Current product owner 2 :
Name : Name :
Company : Company :
Address 1 : Address 1 :
Address 2 : Address 2 :
Country : Country :
Phone : Phone :
Date of ownership : Date of ownership :
Signature : Signature :
Date : Date :
Company stamp is mandatory : Company stamp is mandatory :
Tick here if the machine has been permanently removed from service (scrapped). The manufacturer's
nameplate must be removed and returned to HAULOTTE Group when the unit is removed from service.
Reason for removal :