PRODUCT REGISTRATION FORMand INSPECTION REPORT Box 760, 275 Hespler Ave, Winkler, Manitoba R6W 4A8 T: (800) 418-9461 P: (204) 325-4195 F: (204) 325-8116 www.meridianmfg.com Buyer's Name(Required) Address(Required) Street / Road Address City State Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required) Email(Required) Dealer Company Name(Required) Dealer Email(Required) Salesperson Name(Required) Dealer Township(Required) City Phone(Required) Model Number (eg. TL1039, HD1059)(Required) Serial Number(Required) Delivery Date(Required) DD slash MM slash YYYY General Purpose(Required) Private Commercial Date of Registration(Required) DD slash MM slash YYYY Engine Serial Number(Required) General Inspection(Required) All Safety Decals in place and legible Engine Pulley and Belt Guard fitted Pins & safety clips are in place ( two on main axle one at each end, one at hitch ) Truss cables are tensioned properly ( if applicable ) Paint scratches touched up (if required) Operators Manual included in manual holder Auger free from any type of grease/ hydraulic fluids leaks occurred during final setup Gearbox filled with oil and unit generally greased Lift Cables adequately secured Engine Mounted tightly to Unit All heat guards installed and fixed tight Select AllMover Run-in Inspection Engine runs smoothly Hydraulic pump working Electric Clutch working Gearbox working Auger has been run at approx. half the normal Operating speed for about 15 minutes & checked for unusual noise & vibration Auger has been elevated, lowered and mover ran back & forth without any problems Belt not rubbing Pinion gear aligned with ring gear at wheel drive assembly Hydraulic system checked for leaks Select AllAfter Auger Run-In(Required) Mover is in transport mode and safety chain is hooked up Wheel drive motor is disengaged Hydraulic pump is disengaged Gearbox is disengaged CommentsHow did you originally hear about this product?(Required)Search and found on Google for productsAlready aware about products and contacted local DealerWord of mouthFacebook or InstagramTwitterOtherOther (Tell us where you heard about this product)(Required) The Salesperson has thoroughly instructed me on the above described equipment. The review included the content of the Operator’s Manual, equipment care, adjustments, safe operation and warranty policy. The above equipment and Operator’s Manual have been received by me.Buyer's Name(Required) Date(Required) DD slash MM slash YYYY Buyer's Signature(Required)CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
