CUSTOMER
DELIVERY
FORM
2
3
4
5
6
CHASSiS
CHASSIS
tY:;Ii.lt
SERIAL
Fln.
TYPE:
1.10.
P?L
ITE1'_CI
'1115T
'iE
CHLCKE?
IFF
BY
OEALE?
45
L4BOF:
iS
PERFORMER
Safec2prTautFoTi Eplain>dtTbwner on
i.P.-Gas
systerr;.
YES
-
NO
-
Location
of
L.P.-Gas connections shown to owner
and
informed
how
to
make per~adic leakage check
by
use
of
soapy
water.
Dwner shown how to liuht and/or operate
the
fo!lowing
appliances
by
actual operation
gf
them:
Brand
Mad?.
Nc.
S~rial No
Stave
-
.
.
.
.
--
--
-
Furnace
-
-"--
--
'iater Heater
Dperation of Electrical SystFh-exp1aine~'~and demonstrs.
Opetation
of
Fresn Water
7ystem
including filling
of
tank.
Shawo
hou
to
aperate
Drainape System
Care and operatian of toilet.
Expiained
winterization
of
unit.
Owner shown
bow
to hook-up
and
unhook trailer, also removal
of dolly wheei
for
travel.
Tire pressure checked and importance explained.
Proaer oarking and setup procedure
of
unrt in preparation
for
caroing explained.
Given
coach
keys and owner's packet.
General appearance
-
no visib:e damages. (Interior
and
Exterior)
Oceraticn
of
trailer brakes explained
aqd
periodic adjust-
men: renui red.
YE5
-
NO
-
YES
-NO
YES
-
NO
YES
-
NO
YES
-
'$9
-
YES
-_
NO
-
YES
-
NO
-
YES
-
ID
-
YES
,-
NO
YES
-
NO
-
YES
-
?10
-
YES
FJO
YES
NO-
YES
NO
iheck
and
explain
the
tightening of
lug
bolts as ?n manual.
Check
and rxplain jmportance of Warranty Cards
as
supplied
by
manufacturers
of
appliances and component items. CODY
of
warranty was made available before purchase.
YE5
NO
-
--
--
-
.-
-
-
I
certify tnat
!
have
read and been
?<vet
a full explanation and demo~straticn
of each item listed above.
--
Oealer's Signature
Cdstomer Signature
Person
Explaining
Above:
-.
The
purchaser should
fiat
sign
this statenen; untrl all items indicated above
have been explained to his satisfaction.
The
dealer
is
to return this form
riihin
$
days after delivery
of
this trailer to Service
Department.
Yhite
Hard Copy
-
Jayco Canarr
Looy
-
Dealer
Pink
Copy
-
Customer
DO
NOT
REMOVE
this
gage.
Use
the
regular
3
page
toms
sapplied
with
each coach.
Some items
on
this
deLivery
form
may
not
apply
to
yonr
trailer.
i
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