Warranty Registration Form and Delivery Inspection Report
IMPORTANT! Warranty Void if card is not returned with 10 days.
All Applicable sections must be filled in.
This section to be filled out and signed by Dealer at time of delivery.
Warranty Registration
Customer’s Name Dealer’s Name
Address Address
City State Zip City State Zip
Phone CHECK ONE:
Loader / Tractor Model Construction Use
Delivery Date Agricultural Use
Model or Part # Landscape Use
Serial # Other:
Dealer Inspection (check items applicable)
All Decals installed (see operator’s manual) Review Operating and Safety Instructions
Hydraulic fittings tight and free of leaks Guards and covers in place and secure
Fasteners tight Does Product Function Properly
I have thoroughly instructed the buyer on the above described equipment. This review included: The Operator’s manual content,
equipment care, adjustments, safe operation and applicable warranty policy.
Date Dealer’s Rep. signature
This section to be completed and signed by the customer
QUALITY ASSURANCE RATING
Question: FFC Local Dealer
Quality of Product: Appearance . . . . . . . . . . . . . . . . . . . . . . . . .
Construction . . . . . . . . . . . . . . . . . . . . . . . . .
Quality of Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Value (Priced Fairly) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Does it perform as claimed . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The above described equipment and Operator’s Manual have been received by me and I have been thoroughly instructed
as to care, adjustments, safe operation and applicable warranty policy.
Date: Owner’s signature
NOTE! Make one copy each for the dealer’s and owner’s records. Mail original to FFC Attachments.
Form MR00000-000 Rev. 09/04
FFC Attachments • 100 E. Lee Road • PO Box 122 • Lee, IL 60530 • 800-747-2132 • Fax 815-824-2071
www.ffcattachments.com
123 4 5
Excellent Good Average Unsatisfactory Poor
PLEASE TRI-FOLD AND AFFIX TAPE HERE
