Ingersoll-Rand BXR-100H Operation & Maintenance Manual page 27

WARRANTY REGISTRATION FORM
Selling Disitributor
Name _______________________
Address _______________________
City _______________________
Zip Code/Postal Code ______________
Country _______________________
Telephone _______________________
Complete the Applicable Blocks Owner/User Type of Business (Check one only)
Construction-Heavy
(highway, excavation, etc.)
Construction-Light
(carpentry, plumbing, pools,
mason, etc.)
Rental (rental center,
rental fleet, etc.)
Industrial (plant use)
Ingersoll Rand equipment for which the warranty is requested (Fill in the serial numbers and date)
Model
BXR-100H
Model
BXR-100H
Servicing Disitributor/User Acknowledgement
• The Purchaser has been instructed and/or has read the manual and understands proper preventative maintenance, general
operation and safety precautions.
• The warranty and limitation of liability has been reviewed and understood by the owner/user.
• Ingersoll Rand reserves the right to make design changes or modifications of Ingersoll Rand products at anytime without incurring
any obligation to make similar changes or modifications on previously sold units.
Servicing Distributor
Name ______________________
Address ______________________
City ______________________
Zip Code/Postal Code ______________
Country ______________________
Telephone ______________________
Asphalt Contractor
Government (municipal,
state, county, etc.)
Building Contractor
Other specify
Unit S/N
Unit S/N
Owner/User Name _________________
Address
City
Zip Code/Postal Code _______________
Country
Telephone _______________________
Coal Mining
Quarry
Waterwell
Exploration
Engine S/N
Engine S/N
BXR-100H Reversible Plate Compactors
19-EN
WARRANTY REGISTRATION
_______________________
_______________________
_______________________
Other Mining
Shallow Oil & Gas
Utility Company
Utility Contractor
Date Delivered
Date Delivered
Operation & Maintenance Manual
EN