Windsor Sensor XP 15 10120290 - Page 17

Machine Registration Card
IMPORTANT: Card must be filled out COMPLETELY and returned to
receive an additional 90 days on your warranty. You may also register
on line at www.windsorind.com/Windsor Warranty Reg. shtm
Windsor 1351 W. Stanford Ave. Englewood, CO 80110 USA (303)-762-1800 800-444-7654 FAX (303)-865-2794
COMPANY/INSTITUTION
NAME
TITLE
ADDRESS
CITY STATE ZIP
PHONE FAX
DATE OF PURCHASE
TYPE OF FACILITY
(Circle one)
HT (Hotels) S (Schools) N (Nursing Homes) HP (Hospitals)
C (Contractors) O (Other): _________________________________________________________
HOW OFTEN
WILL YOU USE
LIST MACHINE PURCHASED FROM THIS MACHINE?
_______________________________ __________________________________________
MODEL NUMBER DISTRIBUTOR
_______________________________ __________________________________________
SERIAL NUMBER CITY
_______________________________ __________________________________________
MODEL NUMBER DISTRIBUTOR
_______________________________ __________________________________________
SERIAL NUMBER CITY
_______________________________ __________________________________________
MODEL NUMBER DISTRIBUTOR
_______________________________ __________________________________________
SERIAL NUMBER CITY
_______________________________ __________________________________________
MODEL NUMBER DISTRIBUTOR
_______________________________ __________________________________________
SERIAL NUMBER CITY
D (Daily)
W (Weekly)
M (Monthy)
(Circle one)
D (Daily)
W (Weekly)
M (Monthy)
(Circle one)
D (Daily)
W (Weekly)
M (Monthy)
(Circle one)
D (Daily)
W (Weekly)
M (Monthy)
(Circle one)
Windsor Distributor, complete the following:
Sales Rep Name ________________________________________________________
Phone Number ________________________________________________________
8.627-016.0
PRV NO. 98823
EMAIL
_______________________________ __________________________________________
@
A member of
INNOVATIVE EQUIPMENT SOLUTIONS
Art.-No.06113, 08/2007