Warranty/Registration Card; Product Registration Form - Golden Technologies GP162 Owner's Manual

Rear wheel drive power chair
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LiteRider PTC_GP162_Owner's Manual
Please fill out this product registration form or you can also register your product online at
www.goldentech.com. Failure to register your product may result in significant delays
should service be required.
OWNER INFORMATION:
Name: ____________________________________________________________
Address: __________________________________________________________
City: _____________________________________ State: ______ Zip: ____________
PRODUCT INFORMATION:
Serial Number: _____________________________________________________
Purchased From: ____________________________________________________
City: ______________________________________ State: ______ Zip: ____________
Date Purchased: _______________
MAIL COMPLETED FORM TO:
Golden Technologies
401 Bridge St.
Old Forge, PA 18518
 
 
 
 
 
 
 
WARRANTY/REGISTRATION FORM
Golden Technologies

Product Registration Form

Rev C_022114
38

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