SECTION 1
INTRODUCTION
Owner's Name _______________________________________________________________________
Street Address ________________________________________________________________________
City and State (or Province in Canada)_____________________________________________________
Motor Home Serial Number _____________________________________________________________
Vehicle Chassis Identification No (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