Drive Medical Design Power Wheelchair owner manual Cirrus Plus wheelchair Warranty Registration

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 ____________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

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