User Manual
This Used Equipment Registration form must be completely filled out and returned to Vermeer
Manufacturing Company. This will enable Vermeer to send you safety/product information if
necessary. Type or legibly print in English.
Send to Vermeer Mfg Co, Attn: Customer Data
Center, PO Box 200, Pella, IA 50219, USA.
If the card has been removed, call 641-628-3141
or 800-829-0051. Be prepared to supply the model & serial number of your machine.
Model
SN
Vermeer Manufacturing Company
Used Industrial Equipment Registration Form
Customer Type Information: (Which of the following best describes you as a customer?)
New Owner Information: (Please Print and Complete All Fields)
Former Owner Information: Attachment Information
❏
Check to request OPERATOR’S MANUAL
18
Model:
19
Serial No.:
1a. Customer Type (check one):
(also check 1b/1c for lined types*)
❏
A. City/County/State ‹ ‹ ‹
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B. Federal/Military
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C. Rental Center
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D. Golf Course
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E. Contractor ‹ ‹ ‹ ‹ ‹
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F. Utility Company ‹ ‹ ‹ ‹
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G. Nursery or Tree Growing
1b. * If City/County/State, indicate primary work performed (Please check one box)
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a. Electric
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c. Highway Department
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e. Parks and Recreation
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b. Streets and Sanitation
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d. Water / Sewer
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f. Landfill
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g. Other
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1c. * If Contractor or Utility, indicate primary work performed (Please check one box)
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a. Electric
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j. Pipeline
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n. Golf Course Construction
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r. Land Cleaning
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d. Water/Sewer
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k. Irrigation
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. Roads
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s. General Trenching
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h. Landscaping
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l. Tree Service
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p. General Construction
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t. Boring
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i. Telephone
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m. Gas
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q. Waste Processing/Landfill
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u. CATV
o
v. Other
2 Contact Name: 12 Title: 21 Purchase Date:
3 Business Name: 13
National/Global Account?
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Yes
4 Parent Company: 14 Business Phone: ( )
5 Address 1: 15 Home Phone: ( )
6 Address 2: 16 Fax: ( )
7 City: 8 County: 17 E-mail:
9 State (Province)/Region: 10 Postal Code: 11 Country:
Name: 25 Attachment #1:
Address: 26 Att #1 Serial #:
27 Attachment #2:
City: State/Region: 28 Att #2 Serial #:
Postal Code: Country: 29 Trailer & Serial #: