PLEASE RETURN THIS PORTION IMMEDIATELY
MODEL#
SERIAL#
PURCHASE DATE
DEALER PURCHASED FROM
DEALER ADDRESS
TELEPHONE
PURCHASERS NAME
STREET ADDRESS
CITY
STATEZIP
TELEPHONE
19
MODEL#
SERIAL#
PURCHASE DATE
DEALER PURCHASED FROM
DEALER ADDRESS
TELEPHONE
PURCHASERS NAME
STREET ADDRESS
CITY
STATEZIP
TELEPHONE
19
