Thermor Trekker - Buyers Registration Form

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TH3748_061113
BUYER’S REGISTRATION FORM
Mobility Scooter
NOTICE: COMPLETE THIS FORM AT TIME OF SALE TO REGISTER
WARRANTY.
Customer Name: ___________________________________________
Address: __________________________________________________
City: _________________ Province: ___________________________
Postal Code/ZIP: _____________
Telephone: ______________ Date of Purchase: _________________
Selling Dealer: ____________________________________________
Dealer Address: ___________________________________________
City: _________________ Province/State: ______________________
Dealer Phone: __________________ Fax: ______________________
Model 80001
Serial Number: _________________ Colour: ___________________
(Located on the Rear Frame)