Congratulations on Your New Purchase! Please complete the form below and submit as a record of your purchase. Be sure to update your manual with the purchase information. Thank you! Please Use This Form To Register Your David Products Contact InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Enter Email Confirm Email Product InformationSelect Your Manufacturer*DAVIDRiccarSelect Your DAVID Product Model*Click to select your modelDavid Pro-DXDavid D2000David Pro-DDavid Commercial XDavid Commercial X2David EverywhereDavid T21David FireFlyDavid Houdini-2HR/YMOPSelect Your Riccar Product Model*Click to select your modelRiccar Cordless SupraLiteRiccar Cordless BroomRiccar R60 BroomRiccar SupraLite EntryRiccar SupraLite StandardRiccar SupraLite PremiumRiccar SupraLite R17 PremiumRiccar R30 Series Premium PetRiccar R30 Series PremiumRiccar R40 Series PremiumRiccar R25 Premium PetRiccar R25 DeluxeRiccar R25 StandardRiccar Classic Vibrance – WhiteRiccar Deluxe VibranceRiccar Prima Power Team with Tandem Air NozzleSerial Number* Date of Purchase* MM slash DD slash YYYY Purchased From* Purchased Location* City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Verification *