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Les langues disponibles
20
PART NUMBER:
ENGINE SERIES NUMBER:
Company name:
Address:
City:
Country:
Phone number:
E-Mail Address:
Dealer's stamp
and Signature
Name and Surname:
Address:
City:
Country:
Phone number :
E-Mail Address:
Product purchased on:
Purchaser's signature:
- Pursuant to Art. 13 of Legislative Decree No. 196/2003 concerning the treatment of the personal data, the undersigned authorize the
treatment of the transmitted personal data.
Kindly send this certificate by e-mail to news@polini.com (at the moment of your purchase) in order to activate the
warranty and be always informed about news, recalls or innovations.
ENGLISH
THOR ENGINES' WARRANTY ACTIVATION
DEALER'S DATA:
PURCHASER'S DATA
ZIP Code:
Fax number:
ZIP Code:
Fax number :
I enclose a copy of receipt/invoice
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