Free Gift

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

Please mail entire form to: Attn. Marketing Communications

Waukesha Engine
Dresser, Inc.
1000 West St. Paul Avenue
Waukesha, WI 53188

Or FAX entire form at: 262-650-5500

Engine Information
(to fill out form, position cursor over first line then tab to move from line to line)

Name / Title

Company

Address

City, State, Zip, Country

Phone / Fax / Email

Purchased from
Please fill in model number, serial number and check applicable codes (click mouse on appropriate “Intended Use Code”
box for checkmark -OR- tab to appropriate box and hit the space bar).

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

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

Model Serial Intended Use Code

Number Number G P M C I S