The blank spaces have been filled in and are correct, and I acknowledge that I have read and I
accept this warranty and limitation of liability.
Purchaser ______________________________
Address _______________________________
______________________________________
City ______ State _________ Pin __________
Model/ Type _______ Serial no. __________
Retail date ________ / ________ / ________
Purchaser __________________ Date _______
Dealer ____________________ Code ____________
Address ____________________________________
____________________________________________
City __________ State __________ Pin ___________
Basic warranty expires on ______ / _____ / _____
Dealer ________________________ Date _________
Dealer
Signature Signature
Acknowldegement
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