CUSTOMER
DELIVERY
FORM
how
to
make periodic leakage check by use of soapy water.
YES
KO
_
Owner shown
how
to
liqht and/or operate the tollawing
appliances
by
actual operation of them:
arand Model
!lo.
Serial
No.
ADnRES5
Y
T
E
2NHASE
Stove
YES
NO
--
Furnace
-.
~
YES
NO
-,
Refrigerator
pp
----
--
YES
NO
--
Uater Heater
7
YES
NO
Ooeration of Electrical Svstem exolalnedand demonstrated. YES NO
AOqRESS
I
Y
TATE
YGAlLE9
SER!AL
NO,
-
Operation
of
Fresh
Water fystern inc!uding
filling of tank.
YES
.-,A
NO
Shown
haw
to
operate Drainage Systen. YES
-
t<0
Care and operation of toilet. YES
NO
Explained winterization of
unit.
YE5
-
N3
-_
Owner shown how to hook-up and unhook trailer, also removal
af
dolly wheel Tor travel.
.
YES
NO
_
Tire oressure checked and importance explained. YES
NO
Prooer odrkins and setup urocedure of unit in oreuaration
T
9
S~RFAL
NO.
1
2
3
4
5
6
CHASSIS
CH?,SS!S
ENGifK
SE414L
Nn.
TYPE,
NO.
ALL
ITF'jS
'II!ST
9E
CHECKE7
OFF
BY
AS
Ei3FF:
IS
PERFORKED
Safety-g'at~~ ~o~i'"i;edb"toowner on
L.
P'YGas
syst-GYES
NO
Location of L.P.-Gas connections shown to owner and informed
for
canhino explained.
Given
coach
~eys
and
owner's packet.
General appearance
-
no visible davage~. (Interior
and
Exterior)
Operation of trailer brakes explained and periodlc adjust-
mert required.
Check an3 explain the tightening of log bolts as in manual.
Check dnd explain importance of Warranty Cards as supplied
YES
-
NO
YES NO
A-
YES
-
NO
-
YES
-
NO
-
YES
NO
by manufacturers
af
appliances and component items.
Copy
of
warranty
was
made
available before purchase.
YES
NO
.
*
.
.
-
-
-A-
A
-
--
I
cer:ify that
I
have
read
and been given a full explanztioo
and
demonstration
of
each
item listed above.
Dealer's Signature Customer Signature
perion Expiaining Aba-ve:
The purchaser should not sign this statecent until
all
items indicated above
have been explained
to
his
satisfaction. The dealer is to return this form
wrthin
5
days
after delivery of this trailer to
Service
Department.
'9hite Hard Copy
-
Jayco Canary
Copy
-
Dealer
Pink
Copy
-
Customer
/
Same
items
on
this
delivery
form
may
not
apply
to
your
trailer.
I
'
DO
NOT
IWMOYE:
thfs
page.
Use
the
regalar
3
page
fonns
supplied
with
each
coach.