Dealer Pre-delivery / Installation check and warranty registration - Powerspread

Dealer’s pre-delivery/installation check

All items listed must be checked, and adjusted if necessary. The person conducting the inspection should initial each item in the space provided, indicating whether or not adjustments were required. In event of additional work being needed, details should be given in the additional work / discrepancy box, located at the bottom of this sheet, or on a separate sheet if required.

Dealer Information

Dealer Name: *

Address Line 1: *

Address Line 2:

Address Line 3:

Town / City: *

County: *

Post / Zip code: *

Country: *

Dealer Salesman Name: *

Customer Information

Customer Name: *

Address Line 1: *

Address Line 2:

Address Line 3:

Town / City: *

County: *

Post / Zip code: *

Country: *

Tel No, Home / Office: *

Mobile No:

Machine Information

Installation Date:

monthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

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Serial Number: *

Machine Number: *

Model: *

Additional work / discrepancies:

What code is in the image?: *

Copy the characters (respecting upper/lower case) from the image.