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Warranty Registration Transfer
Please complete this form when engine ownership has been transferred. Transfer Registration To:
Date of Transfer (MM/DD/YY)
Engine Serial Number
Engine Serial Number (If Dual Application)
Last Name
Street Address
City
New Owners Phone Number
Please enclose check or money order in the amount of $300.00 per engine to be transferred. You may pay by credit card. Complete the information below.
VISA
MASTERCARD
Card Number:
_____________________________________________________________________ Exp. Date:
Name As It Appears On the Credit Card:
Signature:
_______________________________________________________________________________________________________________________
Mail completed form to: Warranty Registration Transfer, Marine Power, 17506 Marine Power Industrial Park, Ponchatoula, LA 70454
www.MarinePowerUSA.com
_________________________________________________________________________________________________
First Name
State
______________________________________
MI
Zip Code
51
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