Company:
Last Name:
First Name:
Phone Number:
Email Address:
Address:
City:
Post Code:
Dealer Name:
Sales Person:
Product Range: Please Select... Aerator All Round Chainsaws for Homeowner and Landowner Automower Blowers Brushcutters Clearing Saws Cultivators Electric Chainsaws Hedgetrimmers Homeowner Chainsaws Landowner and Professional Chainsaws Lawn Mowers Pole Saws Power Cutters Riders Scarifier Stump Grinder Tractors Tree Care Saws Trimmers Turf Cutter XP Saws Zero Turn Riders Other
Model Name: Please select a Product Range from above
Serial Number:
Date Sold: 12345678910111213141516171819202122232425262728293031 January February March April May June July August September October November December 2009
Sales Invoice No.:
Hand-over occurred to customer
I (the dealer) confirm that I have asked the customer if they agree for their personal information to be stored on our database and shared with Husqvarna. The customer has agreed to this. I have explained that Husqvarna may at times contact the customer regarding special offers and the customer has given their permission for Husqvarna to send such communications. I have also informed the customer that their personal information will not be shared with any other third party companies.For data protection purposes please only tick this box if you (the dealer) have complied with the above in respect of the customer whose details you are now submitting.
