Havener Pistol-Grip Hydro Walk-Behind Mower 36, 48 & 52 - Manual (Page 43)

PURCHASER INFORMATION
First Name: _________________________ Last Name: _________________________________
Business Name: ___________________________________________________________________
Mailing Address: ___________________________________________________________________
City: ___________________________________ State: _________ Zip: ___________________
Phone Number ____________________________ Fax Number:_____________________________
Date Purchased: _________________________ Email Address:___________________________
DEALER INFORMATION
Authorized Dealer Name:_____________________________________________________________
Mailing Address: ___________________________________________________________________
City: ___________________________________ State: _________ Zip: ___________________
PRODUCT INFORMATION
Mower Model Number ______________________ Mower Serial Number____________________
Authorized Dealer Signature Date
Authorized Purchaser Signature Date
The warranty is valid only if this form is filled out and signed by both the dealer and the
owner at the time of delivery and the completed form has been received at the manufac-
turer within 14 days of the date of purchase.
PRODUCT REGISTRATION