Soucy S-TECH 7016 - Page 84

MODEL:
hr at time of instalation
MODEL YEAR:
SOUCY TRACK SYSTEM MODEL:
TRACK PURCHASING DATE:
SERIAL NUMBER
RUBBER TRACKS IDENTIFICATIONS
FRONT TRACKS P/N:
FRONT LH S/N: FRONT LH S/N:
FRONT RH S/N: FRONT RH S/N:
REAR TRACK P/N:
REAR LH S/N: REAR LH S/N:
REAR RH S/N: REAR RH S/N:
TYPE OF USE
SPECIFY:
SPECIFY:
SPECIFY:
Please specify
SPECIFY:
IS EQUIPMENT USED FOR CUSTOM WORK:
SPECIFY:
TYPE(S) OF CROP
AGRICULTURE - Primary use:
AGRICULTURE - Secondary use:
COMMERCIAL UTILITY:
PRIMARY USE OF TRACK SYSTEM
SNOW GROOMING:
REAR FRAMES P/N:
INVOICE NUMBER:
TRACK SYSTEM IDENTIFICATION
TRACK FRAMES IDENTIFICATIONS
FRONT FRAMES P/N:
PART NUMBER
HOURS OF USAGE:
WERE THE OPERATOR MANUAL AND
WARRANTY POLICY SUPPLIED AND
EXPLAINED TO CLIENT?
CONTACT PERSON:
CLIENT NAME & ADDRESS:
VEHICLE BRAND:
In order to prevent
any transcription and/or transmission error during registration process, We recommend using the
electronic
copy of this form available on the Soucy Track Data Center at: http://datacenter.soucy-track.com.
Note that you must be a Soucy Track dealer to apply for a free access to this Web site
TRACK SYSTEM REGISTRATION FORM
Fill out the following fields and return to Soucy Track Technical Service Department at service.soucy-track@soucy-
group.com or by fax at: 819-477-9423
PURCHASING INFORMATION
DEALER NAME:
RICE
CEREALS
OTHER
YES NO
SOYBEAN
SUGAR CANE
CORN
VEGETABLES CRANBERRY
RICE
CEREALS
OTHER
YES NO
SOYBEAN
SUGAR CANE
CORN
VEGETABLES CRANBERRY
YES
NO