Warranty Registration Form

Dealer Name*

Dealer Contact Name

Dealer Contact Number

Dealer Email Address*

Dealer Contact Position

Dealer Address*

City

State

Country*

Zip / Postal Code

Model*

Serial No.*

Hour Meter Reading*

Delivery Date*

Customer Business Name*

Customer Contact Name

Customer Contact Number*

Customer Contact Email*

Customer Contact Position

Customer Address

City

State

Country*

Zip / Postal Code*

Main Industry*

Sub-Industry*

Sub-Industry

Sub-Industry*

Sub-Industry

Sub-Industry*

SIC Code*

Standard Industrial Classification Code

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Signed*

I have received my Combilift or Aisle-Master forklift and Operators Manual and am satisfied with both

Disclaimer*

I agree that the information I have provided is correct to the best of my knowledge

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