Drive Medical Design Cirrus Plus Power Wheelchair - Manual (Page 23)

22
Cirrus Plus wheelchair Warranty Registration
Please type or print
Serial#__________________________________________Date Purchased___/___/___
Owner Name ___________________________________________________________
Address _______________________________________________________________
City ______________________________________State ________ Zip ____________
Additional Required Owner Information
Please indicate your understanding of your Cirrus Plus wheelchair by completing the
following information.
_________ I have read and fully understand
__________ Owners Manual, especially sections on operating instructions,
safety guidelines, maintenance and battery instructions.
__________ Cirrus Plus wheelchair Warranty
Battery Instructions-only sealed lead acid or gel cell type
batteries should be used. Batteries must also be sealed, deep
cycle, and maintenance free or battery will hinder vehicle
performance and void the warranty.
_________ My dealer has instructed me on how to operate my Cirrus Plus wheelchair.
Signature ____________________________ Dealer Name _____________________
Telephone (___)_______________________ Dealer Phone (___)_________________
E-mail address _________________________________________________________
Comments ____________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________