SERVICE=ENJOYMENT.
QUALITY=SAFETY.
Veloteq Product Limited Warranty Registration
This form must be submitted within thirty (30) days of purchase to activate warranty based on the date of purchase.
OWNER SECTION
Name of Purchaser
Street Address
City
State/Prov
Postal Code
Phone
Email Address
Model
Frame (VIN) Ser. No.
Motor Ser. No.
Date of Purchase
Sales Receipt No.
DEALER SECTION
Dealer Name
Dealer Address
Dealer City
Dealer State/Prov
Dealer Postal Code
Dealer Phone
Dealer Email Address
Date of Sale
Salesperson
updated: 05/26/2010
QUALITY=SAFETY.
