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User Instructions Sure-Strong Confined Space System
12.0 pRODUCT REGISTRATION
MSA makes every effort to supply product updates and other information relevant to the use of this system. To register your
company, we request the following information. Please photocopy, complete in full and return this form to our office by fax at
time of purchase.
Tripod Model Number
Tripod Serial Number
___________________________
Date of Manufacture
___________________________
Date Purchased
___________________________
Purchaser (Company)
Name
______________________________________________________
Division
______________________________________________________
Complete Address
______________________________________________________
______________________________________________________
______________________________________________________
Telephone Number
________________________Fax Number____________________
Supervisor
______________________________________________________
Supplier / Distributor
Name
______________________________________________________
Complete Address
______________________________________________________
______________________________________________________
______________________________________________________
Telephone Number
________________________Fax Number____________________
© 2009 MSA
SCE107007
o
SCE107010HD
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P/N SCSE002
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