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M K Martin Enterprise Inc
3950 Steffl er Rd
Elmira ON CA N3B 2Z3
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Purchaser’s warranty protection is valid only when this completed form or a copy of this form
is on fi le at M K Martin Enterprise Inc. By fi lling out this form the purchaser has acknowledged
delivery of equipment and owner’s / operator’s manual and has accepted the condition of the
equipment.
Date of delivery to purchaser -------------------------------------------------------
Type of Equipment -------------------------------------------------------------------
Model # ------------------------------- Serial # -------------------------------------
Retailer’s Signature Indicates
• Equipment was properly assembled as directed by manufacturer
• Equipment was tested for functionality and operates properly
• Purchaser was instructed in safe and proper operating procedures
• Warranty was explained to purchaser
• Purchaser was given the operators manual
Retailer
Signature ----------------------------------------------------------------
Company ---------------------------------------------------------------
Address ---------------------------------------------------------------
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Purchaser’s signature indicates
• Acceptance of equipment fully assembled
• Received operator’s manual
• Clearly understands conditions of warranty
• Received instructions of safe and proper operation of equipment
Purchaser
Signature -----------------------------------------------------------
Company ---------------------------------------------------------
Mailing address -------------------------------------------------
City ------------------------------------------ Prov/State -------- Postal Code/Zip ---------------
Available phone number -----------------------------------------
Warranty is valid only when it has been received by manufacturer at address above
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