Service and Factory Support Page 6.0 - 3 6.0
Warranty Registration Form: (copy, fill-in, & FAX Registration Form back to INCON)
TS-LLD
Warranty Registration Form
Telephone No. 1-800-984-6266
♦♦
♦♦
♦
FAX No. 1-207-282-9002
000-1480 REV. C
Registration activates your warranty — mail, or Fax in today !
TS-LLD
Installation Date: Line # of
Purchased From:
Dispenser / Manufacturer Type:
Installers Name & Certificate Number:
Functional Element / age:
Site Information:
Company Name: Telephone No.
Mgr. / Contact Name: Reg. hours of Operation
Street Address:
Are blenders used ? Yes No
Is this an IST application ? Yes No
Is this a Big Flo
®
pump ? Yes No
Turbine Pipe Type Size Length
Product Pump Type & HP
Steel
Reg. UL Mid. UL Prem. UL Red Jacket
®
Fiberglass
Diesel #2 Fuel Oil Kerosine FE Petro™ Flexible (& below)
Other Other ...manufacturer:
Write in, or tape-on
Serial No. labels
here
LSU Serial No.CU Serial No.
— Please print, or type —
TS-LLD
circle
circle
NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES
BUSINESS REPLY MAIL
FIRST-CLASS PERMIT NO. 12 SACO ME
POSTAGE WILL BE PAID BY THE ADDRESSEE
ATTN: TECHNICAL SERVICE
INTELLIGENT CONTROLS INC
PO BOX 638
SACO ME 04072-9962
ENVIRONMENTAL CONTROLS DIV.
SACO MAINE USA
BACK SIDE FRONT SIDE
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