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Customer Registration

1Customer Information

2Dealer Information

3Inspection

4Questionnaire

Customer Section
First Name (customer)*
Last Name (customer)*
Middle
Street Address*
City*
State/Province*

2 Letter State Abbreviation
Zip/Postal Code*
Customer Email*

*If email is unknown, please check the box below. DO NOT make up a fake email address.
- Email address unknown.
Home Phone
Mobile Phone*

Model and Dealer Section
Date Purchased*
MM slash DD slash YYYY
Model Name*
Production/Unit Number*

Valid number between 100000 to 999999, this is not VIN or the Customer Order Number
Model Year*
Mileage*
Selling Dealer*
Vehicle Identification Number*
Dealer Street Address*
Dealer State/Province*
Dealer Zip/Postal Code*
Sales Representative Name*
Trade In Section
Trade-In Year
Trade-In Brand
Trade-In Type
Trade-In Newmar Serial Number

If the Trade-In is a Newmar.

Pre-delivery and Acceptance Declaration
The Selling dealer will inspect, correct and adjust as necessary, the following items with the new owner immediately prior to delivery:
Dealer check all Dealer boxes (Click here to select all Dealer check boxes)
Customer check all Customer boxes (Click here to select all Customer check boxes)
Water System
Check for leaks, correct as necessary
Water Intake Valve*
- Dealer
- Customer
Water Tank*
- Dealer
- Customer
Water Pump*
- Dealer
- Customer
Water Heater & Review Operation*
- Dealer
- Customer
All Water Lines*
- Dealer
- Customer
Drain Valves*
- Dealer
- Customer
All Faucets*
- Dealer
- Customer
Winterize if Necessary*
- Dealer
- Customer
Plumbing System
Check for leaks, correct as necessary
Holding Tank*
- Dealer
- Customer
Gate Valve*
- Dealer
- Customer
All Traps*
- Dealer
- Customer
Toilet Stool*
- Dealer
- Customer
Waste Water Tank*
- Dealer
- Customer
Tub/Shower*
- Dealer
- Customer
Sink*
- Dealer
- Customer
Lavatory*
- Dealer
- Customer
L.P. Gas System
Meter-check entire system. Correct and adjust as necessary
Furnace - Pilot - Burner*
- Dealer
- Customer
Range - Pilots - Burners*
- Dealer
- Customer
Water Heater - Pilot - Burner*
- Dealer
- Customer
Refrigerator, Burner*
- Dealer
- Customer
Gas Regulator, Adjust Pressure*
- Dealer
- Customer
Gas Lines*
- Dealer
- Customer
LP Detector Fuse Activated*
- Dealer
- Customer
Electrical System
Check and correct as necessary
110 V. System*
- Dealer
- Customer
12 V. System*
- Dealer
- Customer
All Interior Lights*
- Dealer
- Customer
All Interior Switches*
- Dealer
- Customer
All Interior Fans*
- Dealer
- Customer
Heater/Air Cond./Thermostat*
- Dealer
- Customer
All Exterior Lights*
- Dealer
- Customer
All Exterior Receptacles*
- Dealer
- Customer
Electric Water Heater*
- Dealer
- Customer
Converter/Inverter*
- Dealer
- Customer
Generator & Review Operation*
- Dealer
- Customer
Exterior
Check and correct as necessary
Entrance Door, Locking, Proper Adj.*
- Dealer
- Customer
Baggage Doors, Locking, Proper Adj.*
- Dealer
- Customer
Slideout Operation*
- Dealer
- Customer
Slideout Appearance & Fit*
- Dealer
- Customer
Interior
Inspect and correct as necessary
Cleanliness*
- Dealer
- Customer
Fire Extinguisher*
- Dealer
- Customer
C02 Detector Activated*
- Dealer
- Customer
Smoke Detector*
- Dealer
- Customer
General Appearance Items
Inspect and correct as necessary
Interior, Exterior, Trim Moldings*
- Dealer
- Customer
Exterior Finish, Spot Paint Steps, Bumper, A-Frame, Touch Up*
- Dealer
- Customer
Factory Installed Options and Accessories
Inspect and adjust as necessary
Factory Option 1*
- Dealer
- Customer
Factory Option 2*
- Dealer
- Customer
Factory Option 3*
- Dealer
- Customer
Factory Option 4*
- Dealer
- Customer
Factory Option 1
Factory Option 2
Factory Option 3
Factory Option 4
Chassis
Check and Correct as necessary
Check All Engine & Transmission Fluids*
- Dealer
- Customer
Observe Automotive Gauges During Test Drive*
- Dealer
- Customer
Tag Axle & Review Operation*
- Dealer
- Customer
Vehicle Handling I Ride*
- Dealer
- Customer
Tire Pressure*
- Dealer
- Customer
Wheel Covers*
- Dealer
- Customer
Owner/Dealer Delivery
Review Owner's Guide and Instructions Books with Owner*
- Dealer
- Customer
Demonstrate Operation of All Appliances and Accessories*
- Dealer
- Customer
Road Test with Owner*
- Dealer
- Customer
Reviewed Warranty and agreed to terms prior to purchase*
- Dealer
- Customer

Questions Section
Time Inspection Took*
Location of Inspection*
Were there any additional questions?*
- Yes
- No
If yes, explain:
Were these questions answered to your satisfaction?*
- Yes
- No
If no, explain:
After this inspection, do you feel adequately advised to operate and maintain your recreational vehicle within all its guidelines set forth in the enclosed owner's manuals?*
- Yes
- No
If no, explain:
Did the customer purchase an extended service contract?*
- Yes
- No
If so, for how many years?
Please enter a number from 1 to 20.

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