TopGun Mobility LiON - Page 3

RETAIL ADVICE & BUYERS WARRANTY REGISTRATION
Selling Dealer to complete at time of sale in order to Register Warranty with Top Gun Mobility
Customers Email Address:
Customer:
Model:
Address: Serial Number:
Colour:
State: Postcode:
Date of Sale:
Phone: Type of Purchase: Consumer / Rental / Other
SELLING DEALER:
Customer
Signature
Dealership
Representative
Signature