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WARRANTY REGISTRATION
SERIAL # ___________ INV. DATE:
_________
DISTRIBUTED BY:
ADDRESS: ______________________________
CITY: _______________ STATE: _____ ZIP:________
CUSTOMER INFORMATION
COMPANY NAME:
CONTACT: _______________________
PHONE NUMBER: ________________
ADDRESS: _______________________
CITY: ________________ STATE: _____ ZIP: _________
Please remit above form to:
This form must be received for warranty to become effective!
Model Q12
Installation, Operation and Maintenance
________________________________
________________________
Quality Lifts
P.O. Box 3972
Louisville, KY 40201
(877) 771-5438 office
(502) 583-5488 fax
Page 14
Rev. 02/01/15
Q12-IOM-Q.
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