Warranty Registration

Registration Request Sany America, 318 Cooper Circle, Peachtree City, GA 30269 - 770-969-2176 - services@sanyamerica.com
Registration #

	Serial #:
	Date of Registration:

	Product:		Start up Date:
	Model:

	Dealer:		End User:
	Name:		Name:
	Customer ID:		Customer ID:
	Company Name:		Company Name:
	Address:	$van[8]	Address:	$van[16]
	Postal Code		Postal Code
	Country		Country
	Tel:		Tel:
	Fax:		Fax:

Signature: $van[13]