Warranty Registration

Who Is filling out this form

First Name

Middle Initial

Last Name

Address

City

State

Zip Code

Contact Email

Phone Number

Price Of Saddle Purchase

Date of Purchase

Saddle Serial Number

Business Saddle was Purchased From

How likely is it that you would recommend Circle Y to a friend or colleague?

0 Not Likely - 10 Very Likely

Tell us a bit more about why you chose this response.

How did you hear about us?

Gender of Primary User of Saddle

Age of Primary User of Saddle

Discipline of Primary User of Saddle

Purchaser Consent - In connection with the purchase of this saddle, the Dealer has pointed out the location of the metal warning tag affixed to this saddle and instructed me to read the warning provisions and maintenance requirements in the brochure attached to the saddle. I have received the brochure and will read the warning provisions and maintenance requirements before using the saddle. If I have any questions regarding the brochure, I will contact Circle Y Saddles, Inc.

Dealer Consent - In connection with the sale of this saddle, I have pointed out to the original purchaser the location of the metal tag affixed to this saddle, have supplied the brochure, and have instructed the purchaser to read the warning provisions and maintenance requirements before using the saddle.

Purchaser or Dealer Consent

Saddle Warranty Registration