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SECTION 1
INTRODUCTION
Owner's Name______________________________________________________________________
Street Address ______________________________________________________________________
City, State/Province, and Zip ___________________________________________________________
Motor Home Serial Number ____________________________________________________________
Vehicle Chassis Identification Number (VIN) _______________________________________________
Vehicle Mileage at Time of Delivery______________________________________________________
Selling Dealer Name and Address_______________________________________________________
__________________________________________________________________________________
YOUR WINNEBAGO INDUSTRIES DEALER
Name _____________________________________________________________________________
Address ___________________________________________________________________________
__________________________________________________________________________________
Contact Person _____________________________________________________________________
Phone ____________________________________________________________________________
CHASSIS DEALER/SERVICE CENTER
Name _____________________________________________________________________________
Address ___________________________________________________________________________
__________________________________________________________________________________
Contact Person _____________________________________________________________________
Phone ____________________________________________________________________________
INSURANCE POLICY
Company __________________________________________________________________________
Policy Number ______________________________________________________________________
Phone ____________________________________________________________________________
1-6
OWNER INFORMATION
EMERGENCY INFORMATION
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