THOR ENGINES’ WARRANTY ACTIVATION
PART NUMBER:
ENGINE SERIES NUMBER:
DEALER’S DATA:
Company name:
Address:
City:
Country: ZIP Code:
Phone number: Fax number:
E-Mail Address:
Dealer’s stamp
and Signature
PURCHASER’S DATA
Name and Surname:
Address:
City:
Country: ZIP Code:
Phone number : Fax number :
E-Mail Address:
Product purchased on: I enclose a copy of receipt/invoice
Purchaser’s signature:
- Pursuant to Art. 13 of Legislative Decree No. 196/2003 concerning the treatment of the personal data, the undersigned authorize the
treatment of the transmitted personal data.
Kindly send this certificate by fax to the following number 0039 035 2275281 or by mail to news@polini.com (at
the moment of your purchase) in order to activate the warranty and be always informed about news, recalls or
innovations.
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