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END
USER WARRANTY REGISTRATION
FORM
This form
must be completed by End
User within 5 days of
receipt of product for
warranty entitlement.
Vin and
Engine numbers can be
found on product, and
on Product label on outside
of shipping crate.
Please
Note:
If you would prefer to
Fax or
Mail
your registration, Please
Print, Complete and Fax
/ Mail our Printable
End User Registration
Form.
Regardless of which method you choose to register, All
areas of these forms must be completed
to insure your registration.
End Users
Name:
Street Address:
City:
State:
Zip:
Phone:
Daytime Phone:
Email Address:
Date of Purchase:
Dealer Name:
Other Dealer Name:
Dealer Street Address:
Dealer City:
State:
Zip:
Model Name:
Model #:
Vin # (Must be 17 digits)
Engine # (8 to 11 digits)
End User: (Please Read
Carefully)
By digitally
signing this End User
Registration Form, I acknowledge
the I have read and under
stand the East Coast Scooter
Warranty page and Disclaimer
page.
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