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

Name

Address

City

State

Zip Code

Phone Number

Model of Equpment (NG, NG+, MS)

Mounted, Stacking, Pull-Type

Number of Rows

Serial Number

Delivery Date to Purchaser

Invoice Number

Dealer signature indicates the following:

Planter was assembled as ordered by dealer.
truefalse

Planter was checked for any loosening of bolts that might have occurred during transport.
truefalse

The planter has proper row spacing.
truefalse

The correct seed discs were installed.
truefalse

Chains have the proper tension and are in alignment.
truefalse

The planter is lubricated.
truefalse

Purchaser was instructed in safe and proper operating procedures and setting of the planter.
truefalse

The warranty policy was explained to the purchaser.
truefalse

The operators manual was given to the purchaser and advised purchaser to read it and be familiar with safety warnings.
truefalse

The planter was accepted fully assembled.
truefalse

Customer received the operators manual and was shown safety section
in the manual.
truefalse

Customer has clear understanding of the warranty.
truefalse

Customer received instructions regarding safe and proper use of the planter.
truefalse

Dealer & Customer Signatures

Customer and dealer must sign below to confirm warranty registration. (You may use a cursor or touchpad.)

Customer Signature

Customer Name

Dealer Signature

Dealer Name

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