Warranty Registration Form and Delivery Inspection Report
IMPORTANT!
Warranty
Void
if card is not returned with 10 days.
All Applicable sections
must
be filled in.
This section to be filled out and signed by Dealer at time of delivery.
Warranty Registration
Customer’s Name
Dealer’s Name
Address
Address
City
State
Zip
City
State
Zip
Phone
CHECK ONE:
Loader / Tractor Model
Construction Use
Delivery Date
Agricultural Use
Model or Part #
Landscape Use
Serial #
Other:
Dealer Inspection
(check items applicable)
All Decals installed (see operator’s manual)
Review Operating and Safety Instructions
Hydraulic fittings tight and free of leaks
Guards and covers in place and secure
Fasteners tight
Does Product Function Properly
I have thoroughly instructed the buyer on the above described equipment. This review included: The Operator’s manual content,
equipment care, adjustments, safe operation and applicable warranty policy.
Date
Dealer’s Rep. signature
This section to be completed and signed by the customer
QUALITY ASSURANCE RATING
Question:
FFC
Local Dealer
Quality of Product: Appearance . . . . . . . . . . . . . . . . . . . . . . . . .
Construction . . . . . . . . . . . . . . . . . . . . . . . . .
Quality of Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Value (Priced Fairly) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Does it perform as claimed . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The above described equipment and Operator’s Manual have been received by me and I have been thoroughly instructed
as to care, adjustments, safe operation and applicable warranty policy.
Date:
Owner’s signature
NOTE! Make one copy each for the dealer’s and owner’s records. Mail original to FFC Attachments.
Form MR00000-000 Rev. 09/04
FFC Attachments • 100 E. Lee Road • PO Box 122 • Lee, IL 60530 • 800-747-2132 • Fax 815-824-2071
www.ffcattachments.com
1
2
3
4
5
Excellent
Good
Average
Unsatisfactory
Poor
PLEASE TRI-FOLD AND AFFIX TAPE HERE
Summary of Contents for LAF2301
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