Pride Warranty Registration

Click here if you would like to register on the Pride Web Talk Message Board.

Please fill out the information below to register your Pride product and enroll in the Pride Owners Club.

Product Information
Serial Number
Date Purchased	(click here to select date)

Buyer Information
Name
Address
City
State
Zip Code
Phone
Email

Agreement
I have read the owner's manual that accompanies this unit and fully understand :
Safety		Adjustments For Operator Comfort
Operation		Batteries And Battery Charging*
Care & Maintenance		The function of the freewheel levers*
Only Sealed Lead_Acid or Gel Cell type batteries can be used. Batteries must be sealed, deep-cycle, and maintenance free. Any other type hinders performance and voids the warranty. *
My Provider has instructed me on how to operate this product. *
I am invited to enroll in the Pride Owner's Club as stated in the introduction. *
* Where Applicable
Signature		Date Signed

Optional Information
Age	Weight	Height	Gender
			M F
Physical Limitations (if any) :
Favorite Activities :
Current Magazine Subscriptions :
Favorite Features :
How has your Pride product positively influenced your life? What activities do you enjoy doing using your Pride product? Tell your story and inspire others!:

References
If You know of others who could benefit from our products, please fill in the following :
Name		City
Address		State
		ZIP

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