Register Your Products

Contact Information (* is required information)

First Name* Last Name*

Company or City Name*

Address 1*       
Address 2        
Suite or Room 

City*   State or Province*   Zip or Postal Code*

Daytime Phone Number* E-Mail Address*

Where did you purchase your system?* Please Specify RapidView Direct Atlas Inspection Technologies C.N. Wood Cyncon Fer-Marc Infratech Jack Doheny Supplies California Jack Doheny Supplies Indiana Jack Doheny Supplies Michigan Jack Doheny Supplies Ohio Jack Doheny Supplies Ontario Jet - Vac New Jersey Jet-Vac Sewer Equipment, SC Kinloch Equipment Mahoney Maryland Industrial Truck Municipal Equipment Sales RL Dennis Vacuum Truck Sales Other

When did you purchase your system?*

This a rental or leased unit? If checked, who is the renter?

Products You Purchased

Cameras
HYDRUS Straight View       Serial Number(s)
JUNO Auto Upright SV       Serial Number(s)
ORION Pan & Tilt               Serial Number(s)
ORION-L Pan & Tilt           Serial Number(s)
ORPHEUS Pan & Tilt          Serial Number(s)
ARGUS Pan & Tilt              Serial Number(s)
PANORAMO 2                     Serial Number(s)
PANORAMO 150                 Serial Number(s)
PANORAMO SI                  Serial Number(s)
CEREBUS Hand Held         Serial Number(s)
Other      Serial Number(s)

Tractors
KRA 65 Small Tractor          Serial Number(s)
T66 Small Tractor            Serial Number(s)
KRA 75 Medium Tractor      Serial Number(s) Lift Serial Number
T76 Medium Tractor      Serial Number(s) Lift Serial Number Base Serial Number
KRA 85 Large Tractor         Serial Number(s)  Lift Serial Number
T86 Large Tractor         Serial Number(s)  Lift Serial Number Base Serial Number
PANORAMO Tractor         Serial Number(s)  Lift Serial Number
PANORAMO 150 Tractor         Serial Number(s)
LISY 150 Lateral Launch     Serial Number(s)
LISY 3 Lateral Launch     Serial Number(s)
Other      Serial Number(s)

Controller
BOP Push Reel Controller       Serial Number(s)
BK 3 Portable Controller         Serial Number(s) EDE Serial Number
BK 3.5 Portable Controller         Serial Number(s) EDE Serial Number
BE 3 Rack Mount Controller   Serial Number(s) EDE Serial Number
BE 3.5 Rack Mount Controller   Serial Number(s) BP3.5 Serial Number
BS 5 Rack Mount Controller   Serial Number(s) BG5 Serial Number
BS 7 Rack Mount Controller   Serial Number(s) BP 3.5 Serial Number
Software Version (viewed onscreen during power up)

Cable Winch / Reel (select all that apply)
HSP 40 Push Reel            Serial Number(s)
HSP60 Push Reel             Serial Number(s)
KT 180 Portable Reel      Serial Number(s)
KW 180 Fixed Reel         Serial Number(s)
KW 305 Sychronized       Serial Number(s)
KW 505 Sychronized       Serial Number(s)
KT 220 Manual LISY      Serial Number(s)
LISY Sychron (reel)        Serial Number(s)
Other Serial Number(s)

Auxilary Light Rings (select all that apply)
ZSW 65 Small Light Ring        Serial Number(s)
ZSW 75 Small Light Ring        Serial Number(s)

Other Items Purchased With This Sale
Cable Deflection Pulley
Pressure Test Set / Pump
Granulated Wheels / Grease Wheels
Additional Weights
Pneumatic Wheels
Inclinometer
LISY Large Diameter Kit - Serial Number (s)
LISY Lateral Cleaning Kit
Laser Profiler

Please Describe Your Purchasing Experience
Where did you hear about RapidView IBAK USA? - Select One - Local Dealer Print Advertisment Internet & Web Word of Mouth Previous Customer Other

Did you purchase a vehicle or trailer with this system? if so what - Select One - None Cargo Van Sprinter Van High Cube Step Van Off Road Vehicle Trailer Skid Box

How do you rate the quality of your training? - Select One - Excellent Above Average Average Below Average Poor Did not get any training

Did you receive your user manuals, safety manuals, and maintenance manuals ? Yes No

How do you rate your overall purchasing experience? - Select One - Excellent Above Average Average Below Average Poor

Are you interested in an extended warranty / maintenance program ? Yes No

Addition Comments or Concerns: