Karma KP-25.2 - Warranty Registration Form; Warranty Form Details

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Warranty Form (You may photocopy this from)
Full Name:
Gender:
Maleś Femaleś
Date of Birth:
Year Month Day
Address:
Model:
KARMA KP-25.2
Serial Number:
Date of Purchase:
Year Month Day
Purchaser Signature:
Dealer's Data
Name of Store:
Telephone and Address:
If you have any suggestions on how to improve our products, please don't hesitate
contacting your local dealer to let us know what you think of your wheelchair.
Thank you and enjoy.