Machine Registration Form: Dealer’s Copy
NOTE: No Warranty Claims will be accepted if this Machine Registration Form is not returned!
Email: service.us@horsch.com
To:
HORSCH, LLC
200 Knutson St. SE
Mapleton, ND 58059
Tel: 701-532-1000
Fax: 701-532-1101
New Machine Final Sale – Initial use
Customer’s Machine – Transfer
Demonstration Machine – Initial use
Machine Product & Model: __________________________
Serial Number: ___________________________________
Sold Date: _______________________________________
In Service Date: Est. Acres: ____________________
Operating Instructions:
I hereby confirm receipt of the Owner’s Manual and Parts Catalog for the above-mentioned machine.
I have been instructed and informed by a HORSCH factory trained Service Technician / authorized
Dealer representative in the operation and functions of the machine, as well as in the safety requirements.
________________________________________________
Name of the Service Technician / Dealer representative
Dealer Customer
Name: ______________________________ Name: _______________________________________
Address: ____________________________ Address: _____________________________________
City/State/Zip: ________________________ City/State/Zip: _________________________________
County: _____________________________ County: ______________________________________
Tel: ________________________________ Tel: _________________________________________
Fax: ________________________________ Fax: ________________________________________
E-mail: ______________________________ E-mail: ______________________________________
Customer No: _________________________ Customer No: _________________________________
I am aware that a Warranty Claim will only be valid if, after the receipt of the machine, this form has
been fully completed, signed and returned to HORSCH, LLC.
______________________________________ ______________________________________
Place, Date Customer’s Signature
NOTE: After Signing,
remove and/or copy this page. Keep signed delivery checklist in machine file at the dealership.
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