Customer Machine Delivery Form

KEFM301

Serial Number(Required)

Name of Dealership(Required)

Front Chain

Rear Chain

Additional equipment/chain supplied

Place of delivery

Date of Delivery

I acknowledge that:

I have received a Kelly operators manual

I acknowledge that:

I have been shown in the manual where to find safety information, safe operating guidelines, technical specifications and warranty information

I acknowledge that:

I have been shown the recommended maintenance checklist

I acknowledge that:

I have been shown where to find information for this machine on the Kelly website

I acknowledge that:

I have received and completed the warranty registration form

Name(Required)

First Last

Email(Required)

Date(Required)