To Product Owner:
If you now own but ARE NOT the original purchaser of the prod-
uct covered by this manual, we would like to know who you are. For the
purpose of receiving safety-related bulletins, it is very important to keep
Jerr-Dan updated with the current ownership of all Jerr-Dan products.
Jerr-Dan maintains owner information for each Jerr-Dan product and uses this
information in cases where owner notication is necessary.
Please use this form to provide Jerr-Dan with updated information
with regard to the current ownership of Jerr-Dan products. Please return com-
pleted form to the Jerr-Dan Product Safety & Reliability Department via fac-
simile or mail to address as specied below.
Thank You,
Product Safety & Reliability Department
Jerr-Dan
13224 Fountainhead Plaza
Hagerstown, MD 21742
USA
Telephone: +1-717-485-6591
Fax: +1-301-745-3713
NOTE: Leased or rented units should not be included on this form.
Mfg. Model :
Serial Number :
Previous Owner :
Address :
Country : Telephone : ( )
Date of Transfer :
Current Owner :
Address :
Country : Telephone : ( )
Who in your organization should we notify?
Name :
Title :
TRANSFER OF OWNER
SHIP