Purchaser’s warranty protection on this new Monosem planter is valid only when this certification form is completed and signed by both the dealer and purchaser at the time of delivery of the equipment to the purchaser and received by the manufacturer within 30 days of the sale.

Date (required)

Name (required)

Address (required)

City (required)

State (required)

Zip Code (required)

Email Address (required)

Serial Number (required)

Delivery Date to Purchaser (required)

Purchaser indicates by signing:

1. Acceptance of planter fully assembled

2. Receipt of the operator's manual and understand safety section

3. Clear understanding of the warranty

4. Understand instructions for safe and proper use of the planter

Customer Signatures

Customer's typed name serves as signature.

Customer Name (required)