Warranty Registration

Model # of Pump

Serial #

Business Name*

Address*

City*

State*

ZIP*

Name (First + Last)

Telephone Number*

E-Mail-Adress*

What is your tank size?

Where did you purchase from?

Is this your first Pump Package?
YesNo

Previous Pump Used

What's Your Intended Use?
AgriculturalCommercialGreaseIndustrialOilfield - Drilling MudOilfield - Water HaulingPortable RestroomSepticUsed Cooking OilOther

Additional Comments

Note: The fields marked with an asterisk (*) are mandatory!