Godwin Mfg.

Warranty Registration

TO BECOME ELIGIBLE FOR WARRANTY COVERAGE, THIS PRODUCT REGISTRATION MUST BE COMPLETED AND FORWARDED TO GODWIN MANUFACTURING AT TIME OF DELIVERY.

FAILURE TO COMPLETE THIS FORM, OR ANY FALSIFICATION ON THE FORM, WILL RESULT IN INVALIDATING THE WARRANTY. THE TERMS AND CONDITIONS OF THIS WARRANTY ARE APPLICABLE ONLY ON GODWIN EQUIPMENT SOLD AND INSTALLED IN THE UNITED STATES, CANADA OR MEXICO.

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Your Contact Information

*Date of Purchase:

*Product Model:

*Product Serial Number:

Other:

*Email Address:

*Name and Address of Dealer/Distributor:

*Name and Address of Purchaser:

We have made final inspection of the above listed equipment and find it to be free from any visual or functional defects. We have applied all required decals. We have included a "Body Prop" and "Prop Cup" to be used for safety with this equipment.

Name and Address of Installer:

Operation Information

Type of Material Hauled:

Number of trucks/trailers with this type of equipment:

General description of type work performed:

Classification of Business:

Sand and Gravel
Asphalt
Coal
Mineral
General Contracting
Clay and Mud
Other

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