Saito FA-100T - Consumer Warranty Registration

Consumer Warranty Registration Fill in and mail this form along with your dated sales receipt (send copy, keep original for your files) within 10 days of purchase to: Horizon Service Center
Attn: Saito Warranty Dept. 4105 Fieldstone Road Champaign, IL 61822
Engine Type ____________________________________________________ Date of Purchase __________________________________________________ Owner’s Name __________________________________________________ Street Address ____________________________________________________ City/State/Zip ____________________________________________________ Daytime Phone Number ____________________________________________ Purchased From: Dealer’s Name____________________________________________________ Street Address ____________________________________________________ City/State/Zip ____________________________________________________
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Please cut on dotted line.