Windsor Sensor SRXP12 Manual page 17

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
INNOVATIVE EQUIPMENT SOLUTIONS
COMPANY/INSTITUTION
NAME
TITLE
ADDRESS
CITY
PHONE
_______________________________ __________________________________________
DATE OF PURCHASE
EMAIL
Windsor
A member of
Art.-No.06113, 08/2007
STATE ZIP
FAX
@
1351 W. Stanford Ave. Englewood, CO 80110 USA
(Circle one)
TYPE OF FACILITY
HT S
(Hotels) (Schools)
C O
(Contractors) (Other): _________________________________________________________
LIST MACHINE PURCHASED FROM
_______________________________ __________________________________________
MODEL NUMBER DISTRIBUTOR
_______________________________ __________________________________________
SERIAL NUMBER CITY
_______________________________ __________________________________________
MODEL NUMBER DISTRIBUTOR
_______________________________ __________________________________________
SERIAL NUMBER CITY
_______________________________ __________________________________________
MODEL NUMBER DISTRIBUTOR
_______________________________ __________________________________________
SERIAL NUMBER CITY
_______________________________ __________________________________________
MODEL NUMBER DISTRIBUTOR
_______________________________ __________________________________________
SERIAL NUMBER CITY
Windsor Distributor, complete the following:
Sales Rep Name ________________________________________________________
Phone Number ________________________________________________________
(303)-762-1800 800-444-7654 FAX (303)-865-2794
Machine Registration Card
N
(Nursing Homes)
HP
(Hospitals)
HOW OFTEN
WILL YOU USE
THIS MACHINE?
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)
8.627-016.0
PRV NO . 98823