Warranty

©
Copyright 2001, Mi-T-M
®
Corporation 52Q1-062701
47
COMPANY NAME: ______________________________P.O. BOX: ________________ZIP: __________________
ADDRESS: ____________________________________COUNTY: ______________________________________
CITY: ________________________________________STATE: __________________ZIP: __________________
OWNER(S): __________________________________BUS. PHONE: __________________________________
MANAGER: __________________________________SERVICE MGR: __________________________________
FAX NUMBER: ________________________________E-MAIL ADDRESS:________________________________
HEREBY APPLIES FOR STATUS AS A Mi-T-M
®
AUTHORIZED SERVICE CENTER
NO. OF EMPLOYEES: ____________ NO. OF TECHNICIANS: ______________ SHOP SIZE: __________SQ.FT.
PREVIOUS TRAINING OR EXPERIENCE: __________________________________________________________
GENERAL APPEARANCE OF FACILITIES:____________EXCELLENT, __________GOOD, __________FAIR
POSTED SHOP LABOR RATE:$__________________ PER HOUR, HOW MANY YEARS IN BUSINESS ______
OTHER PRESSURE WASHER LINE(S): ____________________________________________________________
OTHER AIR COMPRESSOR LINE(S): ____________________________________________________________
CD-ROM CAPABILITIES: ________ YES ________ NO
SERVICE CENTER STATUS PREFERRED (circle all that apply):
Pressure Washers: Hot Cold Consumer
Air Compressors: Contractor Commercial
Generators: Yes No
WE UNDERSTAND OUR RESPONSIBILITIES AS OUTLINED IN Mi-T-M
®
SERVICE POLICY BOOKLET(s)#______________
AND AGREE TO FULFILL THEM. FAILURE TO DO SO IS JUST CAUSE FOR TERMINATION. WE ALSO UNDERSTAND THAT
OUR SERVICE CENTER STATUS MAY BE REVOKED AT ANY TIME.
WE FURTHER UNDERSTAND T H AT EXECUTION OF THIS A P P L I C ATION IS DIRECTED TO ESTABLISHING A C O N T R A C T U A L
RELATIONSHIP WITH Mi-T-M
®
CORPORATION. THIS APPLICATION SHALL TERMINATE AND REPLACE ALL PRIOR
OUTSTANDING AGREEMENTS OR OTHER DOCUMENTATION RELATIVE TO THE APPOINTMENT OR APPLICATION IN ANY
CAPACITY RELATING TO THE DISTRIBUTION, SALE OR SERVICE OF Mi-T-M
®
PRODUCTS, INCLUDING WITHOUT
LIMITATION PRIOR APPOINTMENTS RELATING THERETO AS AN AUTHORIZED SERVICE CENTER, IF ANY.
NAME: ______________________________________TITLE: ________________________________________
DEALER AUTHORIZED SIGNATURE:____________________________________________DATE: ____________
FOR Mi-T-M
®
USE ONLY
COMMENTS: __________________________________________________________________________________
THE UNDERSIGNED CERTIFIES T H AT THE ABOVE DEALER MEETS THE MINIMUM CRITERIA N E C E S S A R Y FOR STATUS AS A M i - T- M
®
AUTHORIZED SERVICE CENTER IN THE CAPA C I T Y SPECIFIED ABOVE AS PRESCRIBED IN Mi-T- M
®
S E R VICE POLICY B O O K L E T ( s ) #
____
SERVICE MANAGER
X ____________________________________________________________
DATE: ____________________
APPLICATION APPROVED: ____________________________________APPLICATION DENIED:______________
AUTHORIZED SERVICE CENTER
APPLICATION
NOTE: SEND ENTIRE FORM FOR APPROVAL
AFTER APPROVAL - WHITE COPY TO Mi-T-M; YELLOW TO SERVICE CENTER
8650 Enterprise Drive
Peosta, IA 52068