warranty registration form

Product Model (Enter Entire Number from Nameplate)*

Product Serial Number (See Nameplate)*

Date Installed*

Date in Service (if known)

OEM/Installer of Lift Name

OEM/Installer Account Number

City

State

Postcode / Zip

Selling Dealer Account Number

City

State

Postcode / Zip

Name*

Street Address1*

Street Address2

City*

State

Postcode / Zip*

Phone*

Fax

Email (for receipt)*

Registration form completed by (check one)

OEM/Installer

Selling Dealer

Product Owner/End-User

Terms*

I acknowledge that I have received, read, and will follow the instructions in the Owner's manual for this product.

I understand and agree that this site is governed by Wabtec Corporation