Note: To ensure your warranty is activated, complete and
return this form within 10 days of installation.
Return this form via fax to (801)530-0221, via e-mail to
sales@componentplaygrounds.com
, or via U.S. mail to:
Component Playgrounds
1630 North Beck Street
Salt Lake City, UT 84116
Today’s Date:_____________________________________
Sales Receipt/Invoice Number:_________________________
Model(s):_____________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
______________________________________
CUSTOMER INFORMATION
Project Name:_______________________________________
Contact Person:_____________________________________
Address:___________________________________________
City: ____________________State:______Zip:_________
Phone: ____________________Fax:___________________
Purchase Date: __________Completion Date: ____________
SALES REPRESENTATIVE/DEALER INFORMATION
(If different from manufacturer)
Organization: _______________________________________
City: _____________________ State: ______ Zip: _________
Sales Rep Name: ____________________________________
Phone: _____________________ Fax: ___________________
INSTALLATION INFORMATION
(If different from customer or sales representative)
Installed By: ________________________________________
Contact Person: _____________________________________
Address:
City: _____________________ State: ______ Zip: _________
Phone: _____________________ Fax: _________
WARRANTY REGISTRATION SHEET
Summary of Contents for PH30-10
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