Product Registration Card
Please register your securement(s) to receive information should a recall affecting
the unit(s) you have purchased be issued.
School District/Co. Name:
Address:
City:
State:
Zip Code:
Contact Email Address:
Contact Phone Number
Date of Purchas
MM
/
DD
/
YYYY
Dealer/ Distributor:
Packing Slip or Invoice#:
Information Requested below is located on the product label attached to the securement
Product Model Number:
Manufacture Date
MM
/
DD
/
YYYY
Qty Purchased
Submit
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