Outback Power Systems OBX-IC2024S-120/60 Equipment Owner, Address for warranty certificate

OUTBACK EXTREME INVERTER/CHARGER

LIMITED WARRANTY REGISTRATION

Complete this form and return it to:

OutBack Power Systems Inc.

19009 62nd Ave. NE • Arlington, WA 98223

EXTREME LIMITED WARRANTY REGISTRATION

Equipment Owner:

Name/Rank: _ _________________________________________________________________

Organization/Branch of Service:_ __________________________________________________

Address:________________________________	City, State, Zip Code: _ ___________________
Country: _______________________________	Telephone Number:_____________________

E-mail:_ ______________________________________________________________________

Address for warranty certificate:

Name/Rank: _ _________________________________________________________________

Organization/Branch of Service:_ __________________________________________________

Address:________________________________	City, State, Zip Code:____________________
Country: _______________________________	Telephone Number:_____________________

E-mail:_ ______________________________________________________________________

Product Model Number:_ __________________	Product Serial Number(s):_ _______________
Sold by:________________________________	Purchase Date: ________________________
Product Install/Commission Date:____________	System PV Array Nominal Voltage:__________
System Battery Bank Size (Amp Hours):________	Type of Batteries:_ ______________________

General Description of Application:_________________________________________________

____________________________________________________________________________

____________________________________________________________________________

2008-01-07

40