SMORACY BEAST 3680 - Page 3

I have inspected this equipment and nd it in correct working condition. To the best of my knowledge, the customer and
his/her personnel are aware of, and agree to the above procedures.
Signed: ________________________________________________________________________ Date: ______________
(Dealer Representative)
The equipment has been thoroughly checked by the above named dealer representative, and I am satised with his/her
instructions. I have also read, understand, and agree to reverse side of page.
Signed: ________________________________________________________________________ Date: ______________
(Customer)
IT IS VERY IMPORTANT THAT THIS FORM IS FILLED OUT COMPLETELY & ACCURATELY. IF WE CANNOT READ THE
PURCHASER’S INFORMATION OR IT IS INCORRECT, OUR CUSTOMER LIST WILL NOT BE ACCURATE.
IMPORTANT - THIS FORM MUST BE RETURNED TO THE
CUSTOMER DATA DEPARTMENT WITHIN TEN (10)
DAYS IN ORDER TO VALIDATE WARRANTY
Customer Data Department
6750 Millbrook Road
Remus, MI, USA 49340
Phone: (800) 952-0178 in USA
Phone: (989) 561-2270
Fax: (989) 561-2273
E-mail: www.banditchippers.com
Copyright 2-08 FORM #WV-118
OWNERSHIP / WARRANTY VALIDATION FORM
(RECYCLER)
1. _______ Customer has been instructed and understands operation and all safety aspects of operating the equipment.
2. _______ Customer has been instructed and understands that everyone within 100 feet of machine must wear
personal safety equipment (i.e. hard hat, face shield, safety glasses, gloves, ear protection, etc.)
3. _______ Customer has been instructed and understands equipment maintenance schedules, procedures, and that it
is their responsibility to perform maintenance that includes periodic relief valve adjustments, retightening
all fasteners as needed, teeth replacement, especially clutch and belt adjustments, etc.
4. _______ Customer understands hazards of working under, and how to properly lock, the feed wheel in the up position.
5. _______ Customer has been instructed and understands that any machine operators must, always be located within easy
 reachofcontrolsandshutdowndevices,andknowhowtouse,activate,andmaintainthereextinguishers.
6. _______ Customer has been instructed, understands, and agrees that all potential operators must use proper shut
 downprocedures,checkforres,andremoveallpotentialrehazards.Alwayscleanoffandremoveall
 ammabledebrissuchas:wood,mulch,oils,fuels,etc.fromanywherematerialscollect.
7. _______ Customer understands the purpose of and how to operate all the safety devices and guards and to never
attempt to override any safety devices or guards.
8. _______ Customer has been instructed and understands to always remove the ignition key, completely disconnect
battery from cables or by using the battery disconnect switch, and to wait for the cutterhead to come to a
 completestop.Allowallthetimenecessaryforthecutterheadtocometoacomplete stop before performing
any type of service or maintenance procedures. Customer has been shown and understands the purpose of
 thebeltshieldinspectionholeandtonotattemptanymaintenanceuntilbeltsarevisuallyconrmedtohave
come to a complete stop.
9. _______ Customer has been instructed and understands the operational, electrical, and radio devices on the
machine, and no one is to be within restricted area, around recycler, while it is running.
10. _______ Customer has reviewed and understands limited warranty, and all written and visual instructions.
11. _______ Customer has received, been advised, and understands the manuals, and the Safety/Service video supplied
 withtherecycler.Avideoissuppliedforequipmentmodelsasavailable.
12._______AllDanger,WarningandOperationaldecalsareproperlydisplayedonequipmentandfullyunderstoodbycustomer.
13._______ Customerhasbeeninstructed,understands,andagreesthatallpotentialoperatorsmust:Seethesuppliedvideo,
 beinstructedonalltheDanger,WarningandOperationaldecals,readthemanualandfollowtheprocedures.
PURCHASER / OWNER INFORMATION:
Company Name ______________________________________________ Contact Name _______________________
Mailing/StreetAddress________________________________________________City________________________
State __________________________ Zip Code ____________ Telephone Number ( ___ ) ____________________
E-mail _____________________________________ Recycler Model No. ___________ Serial No. ______________
DateRecyclerPutIntoService____________EngineMake&S/N_________________________________________
DEALER / SELLER INFORMATION:
Dealer/SellerName___________________________________________ContactName_______________________
Mailing/StreetAddress________________________________________________City________________________
State __________________________ Zip Code ____________ Telephone Number ( ___ ) ____________________