Titan Product Registration
Titan Product Registration
Name Prefix
(No Preference)
Mr.
Ms.
Mrs.
First Name
*
Last Name
*
Street
*
City
*
State / Prov.
(No Preference)
Alabama
Alaska
Alberta (AB)
American Samoa (AS)
Arizona
Arkansas
Armed Forces (AA)
Armed Forces (AE)
Armed Forces (AP)
British Columbia (BC)
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam (GU)
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba (MB)
Marshall Island
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick (NB)
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northern Mariana Is (MP)
Northwest Territories (NT)
Nova Scotia (NS)
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Palau (PW)
Pennsylvania
Prince Edward Island (PE)
Puerto Rico (PR)
Quebec (QC)
Rhode Island
Saskatchewan (SK)
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon (YT)
Zip Code
*
Phone number
*
Email
*
Date of Purchase
Date of Purchase
*
/
MM
/
DD
YYYY
Storename
*
(No Preference)
Diamond Vogel Paint
Dunn Edwards
Frazee
Gleem Paint Center
Home Depot
Janco Airless Center
Kelly Moore
Lowes
MaxPro South
McCormick Paint
Sherwin Williams
Vista Paint
Other
Other
Purchased Product
*
(No Preference)
.......................................
Impact 400 Skid
Impact 400 High Rider
Impact 410 Skid
Impact 410 High Rider
Impact 440 Skid
Impact 440 High Rider
Impact 440 Low Rider
Impact 540 Skid
Impact 540 High Rider
Impact 540 Low Rider
Impact 640 Skid
Impact 640 High Rider
Impact 640 Low Rider
Impact 740 High Rider
Impact 740 Low Rider
Impact 840 High Rider
Impact 840 Low Rider
Impact 1040 High Rider
Impact 1040T High Rider
Impact 1140 High Rider
Impact 1140 Low Rider
Impact 1640 High Rider
.......................................
FlexSpray Handheld
Capspray 75
Capspray 95
Capspray 105
Capspray 115
HVLP Power Cart, Complete
ED655 Plus
MultiFinish 440, High Rider
AirCoat Air Assisted
AirCoat 423
AirCoat 620
Peak 14:1 Air Assist Airless
.......................................
Hydra Pro IV
Hydra M 4000 Painter
Hydra M 4000 55 gallon
Hydra M 4000 Roofer
Hydra M 2000 Roofer
.......................................
PowrCoat 630 Cart
PowrCoat 630 Wall
PowrCoat 730 Cart
PowrCoat 730 Wall
PowrCoat 745 Cart
PowrCoat 745 Wall
PowrCoat 940 Cart
PowrCoat 940 Wall
PowrCoat 960 Cart
PowrCoat 960 Wall
PowrCoat 975 Cart
PowrCoat 975 Wall
PowrCoat 1045 Cart
PowrCoat 1045 Wall
PowrCoat 1064 Cart
PowrCoat 1064 Wall
PowrCoat 1072 Cart
PowrCoat 1072 Wall
.......................................
PowrLiner 850
PowrLiner 3500
PowrLiner 2850
PowrLiner 4955
PowrLiner 6955
PowrLiner 8955
LazyLiner Pro
LazyLiner Elite
.......................................
Elite 3000
Elite 3500 High Rider
Elite 3500 Low Rider
.......................................
PowrBeast 4700 120v
PowrBeast 4700 gas
PowrBeast 4700T
PowrBeast 7700 gas
PowrBeast 9700 gas
.......................................
PowrTwin 4900 Plus Gas
PowrTwin 6900 Plus Gas
PowrTwin 6900 Plus Electric
PowrTwin 6900 Plus DI Gas
PowrTwin 6900 Plus DI Electric
PowrTwin 8900 Plus Gas
PowrTwin 8900 Plus Electric
PowrTwin 12000 Plus Gas
PowrTwin 12000 Plus DI
.......................................
Titan 250
Titan 290
Titan 330
.......................................
ControlMax 1500 Sprayer
ControlMax 1700 Sprayer
ControlMax 1700 Pro Sprayer
ControlMax 1900 Pro Sprayer
Serial Number