Machine Registration Thank you for purchasing a Kelly Engineering product. Now that you have had a chance to become familiar with the unit we would like you to complete the warranty registration process. Please take a moment to complete this form. We very much appreciate your comments and the opportunity to improve our products and services. Purchaser/OwnerYour Business or Trading Name* Your Name* First Last Your Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Your telephone number.*Please include area code. Your preferred Email address* Purchase DetailsDealership* Dealer location*Date of purchase* DD/MM/YYYYMachine / Model purchased.*Please select from this list;Kelly Diamond Harrow 80Kelly Diamond Harrow 62HDXKelly Diamond Harrow 60CTKelly Diamond Harrow 50Kelly Diamond Harrow 46Kelly Diamond Harrow 45Kelly Diamond Harrow 40Kelly Diamond Harrow 30Kelly Diamond Harrow 6mKelly Diamond Harrow 4mKelly Comb Trailer 30Kelly Comb Trailer 35Kelly Comb Trailer 40Kelly Comb Trailer 45Serial number*Further InformationPurchaser's usual occupation*FarmerCustom operator / ContractorWhat brought Kelly Engineering products to your attention?* Field Day or Farm Show Magazine or Newspaper advertisment Friend or neighbour Machinery Dealer Field Demonstration Website Family Please mention which event or publication you saw our products featured in the next box.Event or Publication.Is this your first Kelly Engineering product?*YesNoWhat features do you like about the Kelly product? Design Price Custom built options Construction Warranty User friendly Your impression of quality of manufacture*ExcellentSatisfiedNeutralUnsatisfiedVery PoorYour impression of quality of finish*ExcellentSatisfiedNeutralUnsatisfiedVery PoorYour impression of ease of use*ExcellentSatisfiedNeutralUnsatisfiedVery PoorYour impression of whether it performs as expected*ExcellentSatisfiedNeutralUnsatisfiedVery PoorYour impression of value*ExcellentSatisfiedNeutralUnsatisfiedVery PoorYour impression of overall experience*ExcellentSatisfiedNeutralUnsatisfiedVery PoorCan you tell us the benefits you find from owning a Kelly product?Satisfaction with dealer/agentWas machine pre-delivered satisfactorily*YesNoWere agents well informed about the product?*YesNoWould you recommend the agent to other farmers?*YesNoOn a scale of 1 to 10 (10 being the highest) how likely are you to recommend us to friends and family?*Please enter a value between 1 and 10.If you scored 8 or below then what must we do to become a 10 in your eyes?*If you scored 9 or above then please tell us why you gave us this score?* This iframe contains the logic required to handle Ajax powered Gravity Forms.
