Alkota Cleaning Systems, INC Equipment Warranty Registration

Please take a moment and fill out the form below to register your newly purchased piece of Alkota equipment.

	First Name / Company		Last Name
	Address		City
	State		Postal Code
	Phone Number		Email Address
	Serial Number		Industry

Alkota Cleaning Systems, INC takes your privacy very seriously. We do NOT sell or distribute your information to any 3rd party company for the use of solicitation. Your information WILL be shared with your local distributor at which you purchased your Alkota equipment.