Acknowledgement
I, ____
__________________________________________ on behalf of
(Print Name)
________________________________ and future operators, hereby acknowledge that I have been
(Company Name)
trained on the proper operation of the ________________________________________ as per the
(Equipment Purchased)
checklist above. In addition, I have carefully read and have been instructed on the safety and hazards of
operating a propane powered machine.
Signature Date
PLEASE FILL OUT IN FULL AND SUBMIT TO: SASE COMPANY, INC. 2475 STOCK CREEK BLVD. ROCKFORD TN, 37853
FAX: 865.745.4110 OR EMAIL: JohnA@SASECompany.com
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