Control Registration Form

Control Owner's Name

Company Name / Installed at

Email (for notification when new software is available)

Phone #

Street Address of Installation Location

City

State/Province/Territory
— Please select one —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Zip Code/Postal Code

Industry
— Please select one —AerospaceAutomotiveTool & DieElectronicsOil & GasGeneral ContractorPrecision Engineering

Control Model
— Please select one —MILLPWR G2: DC kitMILLPWR G2: ACMILLPWR G2: OEITURNPWR: KitTURNPWR: OEI

Control ID#

Control S/N

Installation Date

Purchased From