Controlled Products Systems Group HRG 220-A ST - Manual (Page 14)

© 2009 D0119 Rev. G
PRODUCT & WARRANTY REGISTRATION
Enter the following information to register your HySecurity product. Please write legibly. Today’s Date:_____________________
NOTE: To extend the operator warranty beyond 1 year, you must return this registration within 60 days of purchase. Refer to the Limited Warranty.
Installer Information
First/Last Name: _________________________________________
Company Name: _________________________________________
Address: _______________________________________________
City: ____________________________ State/Province: __________
Country: _______________________ Postal Code: ____________
Daytime Phone: ___________________ Fax: __________________
E-mail: _________________________________________________
End-user Information
First/Last Name: _________________________________________
Company/Association: ____________________________________
Address: _______________________________________________
City: ____________________________ State/Province: __________
Country: _______________________ Postal Code: ____________
Daytime Phone: ___________________ Fax: __________________
E-mail: _________________________________________________
Product Information
Model name/number: ______________________________________
Serial number: ___________________________________________
Purchase Date: __________________________________________
Purchase Price: __________________________________________
Distributor’s name: _______________________________________
Distributor’s City: ________________________________________
Country: ________________________________________________
Installation Date: _________________________________________
Who is completing this form?
Installer End User Distributor
Maintenance Personnel Other ___________________
Additional Comments
_______________________________________________________
_______________________________________________________
Did you visit the HySecurity website before purchasing your product?
Yes No
How did you hear about HySecurity gate operators? (Check all that apply.)
Advertisement Exhibition Distributor
Business associate Other (please specify): ____________________________________
What factor(s) most influenced your purchase? (Check all that apply.)
Performance Price Power
Reliability Brand Prior Experience
Recommendation Warranty Product Weight
Fax or Mail this completed form to:
HySecurity, Inc Fax: 888-321-9946
6623 South 228 th Street Email: [email protected]
Kent, WA 98032
HySecurity provides product installation, maintenance and troubleshooting training. View opportunities online at the HySecurity website:
www.hysecurity.com/support . For Technical Support, call 800-321-9947.
HySecurity does not share this warranty registration information with third parties unless the requested services, transactions, or legal requirements necessitate it.