Warranty Validation - Step 1

Please complete the form below to validate the warranty on your Rockland product. After entering your information, please click the "Next" button at the bottom of the page to evaluate your Rockland product. (Required Fields are indicated with a red * and must be completed in order to be accepted). Rockland understands and respects your privacy, please click here for our internet privacy policy.

This certifies that the dealer educated the owner or his representative in the safe operation of the Rockland product and the machine below, that the Rockland product has been properly mounted on the machine in accordance with the instructions provided by both Rockland and the manufacturer of the machine, and that the Rockland product has been cycled through all operating positions to make certain that there is no interference whatsoever between any part of the machine and the Rockland product that could cause damage to the machine or any person. There are no warranties, express or implied, other than those set forth in the Owner’s Information booklet.

NOTE: When filling out the form, please press the "tab" button to switch fields - not "enter". Pressing "enter" may send the form to us before it is finished - causing you to have to re-enter your information. This can be frustrating! Thanks again for visiting our site!

Product*
Serial Number*
Machine Model*
Hours*
Install Date*
Dealer*
Address *
City *
State *
Zip / Postal Code *
Phone Number/Area Code *
Email Address *
EXTENDED WARRANTY PURCHASED?* Yes No

Owner*
Address *
City *
State *
Zip / Postal Code *
Phone Number/Area Code *
Email Address *

Product Evaluation - Step 2

Please complete the form below to evaluate your Rockland product. We would like to know what you think of our products and how well the installation went. When completed, please click the "Submit" button to send your warranty information and evaluation to us. Rockland understands and respects your privacy, please click here for our internet privacy policy.

NOTE: When filling out the form, please press the "tab" button to switch fields - not "enter". Pressing "enter" may send the form to us before it is finished - causing you to have to re-enter your information. This can be frustrating! Thanks again for visiting our site!

Completed by:

Date:

Excellent
Good
Fair
Poor N/A

1. Quality of owners information and installation instructions

2. Paint quality

3. Weld appearance

4. Ease of installation

5. Performance

6. Overall quality

Any problems?

Anything we can do better?

Want us to call you? Yes No

Best time:

Area code/Phone number:

Please e-mail me an additional parts book! Yes No

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