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Warranty Registrations

Register Your New Agri-Inject System!

Thank you for purchasing an Agri-Inject fluid injection system. By completing this form, you can be assured that your Agri-Inject fluid injection system is registered for warranty purposes. The information requested for your fluid injection system can be found on the pump and on the Agri-Inject unit.

Register Your New Agri-Inject System!

If you have a technical or warranty registration question, please complete and submit this form or call Agri-Inject at 1.800.446.5328 (Continental U.S. only) or 970.848.5336.

Fields marked with an asterisk (*) are required.

Company
Company Name
 
Name*
First Last
 
Address*
Street Address Address Line 2
 
Country State/Province/Region*
 
Zip / Postal Code City
 
Email* Phone
Enter Email Enter Phone
 
Purchase Information*
Dealer Name Invoice Number
 
Purchase Date Production Build Date
 
Pump Serial Number
 
Is this your first fluid inject system from Agri-Inject?*
Yes No
 
What liquids do you intend to pump with this system? (check all that apply)*
Fertilizer Fungicide Soil Amendments
Chlorine Insecticide Nematicide
pH Adjusting Agents Acid based products Herbicide
Fumigant Biological Products Other
If Other
 
What crops do you intend to treat with this system? (check all that apply)*
Corn Potatos Fruits
Specialty Crop Wheat/small grains Alfalfa/Hay
Sports related turf Beans/legumes Vegetables
Res/Comm turf Other
If Other
 
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