Warranty Confirmation Form - Champion ASCENT Operating Instructions And Service Manual

Warranty Confirmation Form

It is very important to Champion that our customers review all the materials in the In-Service
package they receive. In particular, we strongly advise that everyone using our products (medical
staff, patients, technicians, cleaning crew, etc.) review the In-Service DVD (approximately 12
minutes in length).
Please complete the following information, certifying that those individuals using the Champion
products understand their proper use, after reviewing the materials and watching the video.
Clinic or Company Name
Street Address
AFFIX LABEL HERE
City/State/Zip
Signature/Print Name & Title
Date
By reviewing the In-Service materials provided, you increase the useful life of the products by
helping to prevent their improper use, which may lead to premature damage and wear. You are also
helping to validate your warranty, as warranties cover material and workmanship failures, not
misuse or abuse. Use these In-Service tools for new employees and as a "refresher" for current
employees.
Please fax this document to the Customer Service Department at 574-293-5760, and thank you for
your cooperation.
NOTE: Not all chair functions, options and/or accessories are covered in the CD.
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Recliner Manual REV3 040715 cam