REGISTRATION

Thank you for purchasing an Omaha GrillsTMGrill. Please complete the registration
form below and submit. Note that you can find the model and serial numbers on
the placard placed on the back of your grill.

1. First Name: Last Name:

2. Address:

City: State:

Zip Code: Country:

3. Phone Number Daytime:

4. Email Address:

5. Date of Purchase: Month Day Year

6. Price: $ 7. Store:

8. Model: 9. Serial Number: -