Shoprider Dasher 3, Start 3 Quarterly Inspection, Service Record Date of Purchase, Model # GK8

Models: Dasher 3 Start 3 Dasher 4

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QUARTERLY INSPECTION

For your own safety, quarterly inspection and service on the product has to be performed and signed by an authorized provider. Maintenance records (below) should be kept at all times. The manufacturer / distributor / vendor will be indemnified from any product liability claim if the above maintenance / service requirement is not met.

NOTE! Regular (Monthly) inspection is strongly recommended by the manufacturer

to ensure ultimate performance of the vehicle.

Service Record:

Date of Purchase:

/ /

Purchaser:____________________________________________________

Model #: GK8

Serial #: ___________________________________

Provider Unit Was Purchased From: _______________________________

M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y

M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y

M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y

M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y

M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y

M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y M / D / Y

12/8/200619

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Shoprider Dasher 3 Quarterly Inspection, Service Record Date of Purchase, Model # GK8, Provider Unit Was Purchased From