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Please type or print.
Serial # _______________________________________ Date Purchased ____/____/____
Owner Name ____________________________________________________________
Address _________________________________________________________________
City ____________________________________ State ________ Zip ________
Additional Required Owner Information
Please indicate your understanding of your scooter by completing the following information.
________ I have read and fully understand
_______ Owner’s Manual, especially sections on operating instructions, safety guidelines,
maintenance and battery instructions.
_______ Scooter Warranty
Battery Instructions – only sealed lead acid or gel cell type batteries should be
used. Batteries must also be sealed, deep cycle, and maintenance free or battery
will hinder vehicle performance and void the warranty.
_______ My dealer has instructed me on how to operate my scooter.
Signature ______________________________Dealer Name ___________________________
Telephone (____) ________________________Dealer Phone (____)_____________________
Email Address_____________________________________________________________________
Comments:_________________________________________________________________________
______________________________________________________________________________________________________
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