Free Gift

Waukesha Engine Information Request

You can receive a Free Gift by simply filling out this form and faxing or mailing it to us. Your engine’s
location and application are important to Waukesha Engine. This information will aid Waukesha’s ef-
forts in field campaigns and product promotions.

Please print, fill out form, and mail to:

Attn. Marketing Service

Waukesha Engine
Dresser, Inc.
1101 West St. Paul Avenue
Waukesha, WI 53188-9916

Or FAX at: 262-650-5500

Engine Information
Name / Title
Company
Address
City, State, Zip, Country
Phone / Fax / Email
Purchased from

Please fill in model number, serial number and check applicable codes

Intended Use Code

Model Number Serial Number G P M C I S

Intended Use Code Key: G – Gas Compression C – Continuous

P – Power Generation I – Intermittent
M – Mechanical Drive S – Standby