Jacto ARBUS 1000 Operator's Manual page 133

Invoice number:________________________________________ Date: ____/_____/ _____
Retailing dealer:______________________________________________________________
Phone: _______________________________ City:___________________________________
State:_______________________________________________________________________
Sprayer: ______________________________ Model:_________________________________
Series:___________ Sprayer No.: ________________________ Pump No.:_______________
Original retail purchaser: _______________________________________________________
Address:___________________________________ Phone:____________________________
City: ______________________________________ State:_____________________________
Purchase date by the original retail purchaser:_______ /________ /________
The warranty is in force as of this date: _______ /_______ /________
Retail purchaser signature: ______________________________________________________
Copy Máquinas Agrícolas Jacto S. A. - Urgent respond with in 30 days first class postage required
Invoice number:________________________________________ Date: ____/_____/ _____
Retailing dealer:______________________________________________________________
Phone: _______________________________ City:___________________________________
State:_______________________________________________________________________
Sprayer: ______________________________ Model:_________________________________
Series:___________ Sprayer No.: ________________________ Pump No.:_______________
Original retail purchaser: _______________________________________________________
Address:___________________________________ Phone:____________________________
City: ______________________________________ State:_____________________________
Purchase date by the original retail purchaser:_______ /________ /________
The warranty is in force as of this date: _______ /_______ /________
Retail purchaser signature: ______________________________________________________
Original retail purchaser's copy
PRODUCT REGISTRATION CARD
PRODUCT REGISTRATION CARD