Golden Technologies GP160 Wheelchair User Manual


 
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WARRANTY/REGISTRATION FORM
Golden Technologies
Product Registration Form
Please fill out this product registration form or you can also register your product online at
www.goldentech.com. Failure to register your product may result in significant delays
should service be required.
Name: ____________________________________________________________
Address: __________________________________________________________
City: _____________________________________ State: ______ Zip: ____________
Serial Number: _____________________________________________________
Purchased From: ____________________________________________________
City: ______________________________________ State: ______ Zip: ____________
Date Purchased: _______________
Golden Technologies
401 Bridge St.
Old Forge, PA 18518
38
OWNER INFORMATION:
PRODUCT INFORMATION:
MAIL COMPLETED FORM TO: