TOSCO partners, use this form to enter information for multiple pieces of like equipment.  Optional fields are indicated with a shaded box.  When completed, press the "submit" button only once.  You will receive confirmation of the information you have entered. 

 
Equipment Information
Type of equipment:
If "other" describe equipment:
Date of sale:
Warranty Type
   
Serial Numbers: If entering a range of serial numbers, enter the starting number in the first box, enter the word "thru" in the second box, and the ending number in the third box.
   
Purchaser Information  
Business name:
Purchaser name:
Address line 1:
Address line 2:
Address line 3:
City:
State / Province:
If "other" enter state / province:
Postal code:
Country:
Area Code and Phone Number:
   

           

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