J-TECH LANEBLADE - Registration Card

PLEASE DETACH, COMPLETE AND RETURN
TO J-TECH BEFORE PUTTING LANEBLADE®
INTO SERVICE.
REGISTRATION CARD
Owner/Company Name:__________________________________
Company Address: ______________________________________
______________________________________
LaneBlade® Serial Number: _______________________________
Date Purchased: ________________________________________
Fleet Manager’s Name: __________________________________
Fleet Manager’s Phone Number: ___________________________
Fleet Manager’s Email: __________________________________
Safety Officer’s Name: ___________________________________
Safety Officer’s Phone Number: ___________________________
Safety Officer’s Email: ___________________________________
Updated August 5, 2022