Customer Equipment Registration

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Today's Date

Dealer Number

Dealer's Name (Not Dealership) *

Dealer email address *

Customer First Name *

First

Customer Last *

Last

Address *

City *

State *

Zip *

Customer Email

Phone

Date of Purchase *

Transmitter Serial # *

DGSP

Yes

No

1st Receiver # & CMS *

2nd Receiver # & CMS

Type of Frequency *

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