EAV - EME/EMD Rev. A Models
Model Number _________________________Serial Number __________________________ Install Date _______________
This unit is performing Satisfactorily Not Satisfactorily (please explain) _______________________________________
______________________________________________________________________________________________________
MAIL THIS FORM TO: EMAIL THIS FORM TO: FAX THIS FORM TO:
ENERTECH GLOBAL LLC WARRANTY@ENERTECHGEO.COM ENERTECH GLOBAL LLC
2506 SOUTH ELM STREET 618.664.4597
GREENVILLE, IL 62246
REGISTER ONLINE AT: warranty-registration.enertechgeo.com
WARRANTY REGISTRATION
WARRANTY REGISTRATIONS SHOULD BE SUBMITTED WITHIN 60 DAYS OF INSTALLATION
NOW REGISTER ONLINE AT WARRANTY-REGISTRATION.ENERTECHGEO.COM
Purchaser/User Name _____________________________________________________ Phone ________________________
Address ____________________________________________ City __________________________ State/Prov _________
Postal Code ___________________ Email __________________________________________________________________
Installer Company Name ________________________________________________________________________________
City _____________________________State/Prov __________ Email ___________________________________________
Application
Residenīal New Construcīon Residenīal Geo Replacement Residenīal Replacement of Electric, Gas or Other
Mulī-Family (Condo/Townhome/Mulīplex) Commercial Other ___________________________________
Use (check all that apply)
Space Condiīoning Domesīc Water Heaīng Radiant Heat Swimming Pool Snow/Ice Melt
Other _____________________________________________________________________________________________
Loop Type
Horizontal Loop Verīcal Loop Pond Loop Open Loop
Demographics
Household Income Under $30,000 $30,000ā$45,000 $45,000ā$60,000 $60,000ā$75,000 $75,000ā$100,000 Over $100,000
Home Size Up to 1500 sq. ī. 1501 to 2500 sq. ī. 2501 to 4000 sq. ī. Over 4000 sq. ī.
Home Locaīon Rural Urban Suburban
Value of Home Less than $100,000 $100,000ā$250,000 $250,000ā$500,000 $500,000ā$1 mil Over $1 mil
Customer Saīsfacīon
How would you rate your overall saīsfacīon with your new geothermal system?
1 (Very Dissaīsī®ed) 2 3 4 5 6 7 8 9 10 (Very Saīsī®ed)
How would you rate your overall saīsfacīon with your installing geothermal contractor?
1 (Very Dissaīsī®ed) 2 3 4 5 6 7 8 9 10 (Very Saīsī®ed)
Rev 30 DEC 2013B