IDENTITY SHEET
(Please complete all sections)
Use capital letters
Model name:
Type mine: ...........................................
Chassis n°: ............................................
Model name: .........................................
Engine n°: .............................................
Owner:
Family name: ........................................
First name: ...........................................
Address:
N°........ sreet..........................................
Post Code: ............Town:......................
Tel: ......................... Fax: .....................
Duration of the guarantee: 24 months
Dealer stamp and signature
Code
Date:
Signature:
GUARANTEE REGISTRATIONFORM
(Please complete all sections)
Use capital letters
Model name:
Type mine: ...........................................
Chassis n°: ............................................
Model name: .........................................
Engine n°: .............................................
Owner:
Family name: ........................................
First name: ...........................................
Address:
N°........ sreet..........................................
Post Code: ............Town:......................
Tel: ......................... Fax: .....................
Duration of the guarantee: 24 months
Dealer stamp and signature
Code
Date:
Signature:
If the control form is not duly stamped,
the guarantee will be considered null
and void.
99