Terex T780 - Safety

Please send this form to: customersupport.wil@terex.com
New Owner Registration Form
Terex requires that the seller or owner of a Terex machine register to Terex, the model and
serial number of each machine sold as well as the name and telephone number of the new
owner, within 60 days of the sale.
Taking a few minutes to update owner information will ensure that you receive important
safety, maintenance, and operating information that applies to your machine. Please note
that the fields marked with a are required fields.
Product Information Machine
Model Name:
Serial Number:
Purchase Date (mm/dd/yy):
New Owner Information
Company Name:
Contact Name:
Terex Acct # (if applicable):
Mailing Address 1
Mailing Address 2
City:
State / Province:
Zip / Postal Code:
Country:
Telephone No:
E-mail:
Previous Owner Information
Company Name:
Address 1:
City:
State / Providence:
Zip / Postal Code:
________________________
This registration will not be accepted if incomplete or falsified in any way.
Fax to: United States: 1 910 395 8556 Email to: customersupport.wil@terex.com
Mail to: Warranty Department, Terex Cranes, Product Support, 3147 South 17th Street,
Wilmington, NC 28412
After hours: 1-877-MyTerex
T300-1_T500-1_T780
Introduction
14 P/N 12261-683
REVISED: January 2015