IR Company
Productivity Solutions Division
Winch and High Capacity Hoists - On-line Product Registration Card
Model Number * Serial Number * Purchase Date
Your Name *Title * Phone Number
Company Name *E-mail Fax Number
Address *
City * State Zip Code *

Distributor Where Purchased *Distributor Address State/ ZipCode
Type of Business: * Construction Petro-Chemical Oil Drilling Manufacturing Mining Shipbuilding Other
What influenced your decision to buy: * Price Quality Features Reliability Availability Support Other
Product used for: Lifting Pulling
Please describe application:
Fields marked with an asterisk (*) are required entries