Form fields in
RED
are REQUIRED.
Digital Dealer System Warranty
Equipment to Register
Unit 1
Unit 2
Unit 3
Unit 4
Purchased:
01
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05
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10
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2005
2006
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2009
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2005
2006
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2008
2009
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2005
2006
2007
2008
2009
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2005
2006
2007
2008
2009
Model #:
Choose Model
25D
25S
35D
35S
500D
500S
50D
50S
610D
610S
61D
61S
I-110TS Front
I-110TS Rear
I-110XL
I-130TS Front
I-130TS Rear
I-130XL
I-155TS Front
I-155TS Rear
I-155XL2
I-175XL2
I-180TS Front
I-900
Choose Model
25D
25S
35D
35S
500D
500S
50D
50S
610D
610S
61D
61S
I-110TS Front
I-110TS Rear
I-110XL
I-130TS Front
I-130TS Rear
I-130XL
I-155TS Front
I-155TS Rear
I-155XL2
I-175XL2
I-180TS Front
I-900
Choose Model
25D
25S
35D
35S
500D
500S
50D
50S
610D
610S
61D
61S
I-110TS Front
I-110TS Rear
I-110XL
I-130TS Front
I-130TS Rear
I-130XL
I-155TS Front
I-155TS Rear
I-155XL2
I-175XL2
I-180TS Front
I-900
Choose Model
25D
25S
35D
35S
500D
500S
50D
50S
610D
610S
61D
61S
I-110TS Front
I-110TS Rear
I-110XL
I-130TS Front
I-130TS Rear
I-130XL
I-155TS Front
I-155TS Rear
I-155XL2
I-175XL2
I-180TS Front
I-900
Serial #:
Jacket Size:
Small
Medium
Large
X-Large
XX-Large
Your Company:
Name:
Address:
City:
State/Province:
----| United States |----
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illiniois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
----| Canada |----
Alberta
British Columbia
Manitoba
New Brunswick
New Foundland
Northwest Territories
Nova Scotia
Nunavat
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Zip/Postal Code :
Country:
USA
Canada
Phone:
Fax:
Email:
Dealership:
What type of work is your earthmover used for?:
Primary tractor used on your earthmover?:
Make:
Model:
Horse Power:
Tire Configuration?:
Single
Duals
Tracks
Tire Size?:
Track Width?:
Do you add weight to the tractor?:
Yes
No
Amount of weight Added:
lbs.
Secondary tractor on your earthmover:
Yes
No
Make:
Model:
Horse Power:
Do you own another earthmover?:
Yes
No
Brand:
Size:
Age:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
How many weeks do you use your earthmover during the year?:
1-13 weeks
14-26 weeks
27-39 weeks
40-52 weeks
Select the months you use your earthmover?:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
To Make Multiple Selections:
HOLD DOWN
the
Control (CTRL)
key.
LEFT CLICK
on the months you want.
What type of soil or material are you loading?:
Topsoil
Clay - heavy - slabby
Clay - dry - crumbles
Shale
Sand
Sandy Loam
Sand with small rock
Other
To Make Multiple Selections:
HOLD DOWN
the
Control (CTRL)
key.
LEFT CLICK
on the months you want.
Use?:
Agricultural - Type of crops grown:
Acres:
Construction - Type of Construction:
Years::
Do you use a laser system for grade control?:
Yes
No
Make:
Model:
Favorite Trade Shows you attend:
Favorite publication:
What features prompted you to purchase your Ashland Earthmover?:
Comments:
I Agree:
Yes
No
In submitting this warranty form I understand that operation of the earthmover should not be attempted before the safety manual provided has been fully read and understood. Operators who are unfamiliar with the machine should not attempt to operate.
I also assert that I am the rightful owner of this machine and not submitting this form on the owner’s behalf