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
Residenal New Construcon Residenal Geo Replacement Residenal Replacement of Electric, Gas or Other
Mul-Family (Condo/Townhome/Mulplex) Commercial Other ___________________________________
Use (check all that apply)
Space Condioning Domesc Water Heang Radiant Heat Swimming Pool Snow/Ice Melt
Other _____________________________________________________________________________________________
Loop Type
Horizontal Loop Vercal Loop Pond Loop Open Loop
Demographics
Household Income Under $30,000 $30,000–$45,000 $45,000–$60,000 $60,000–$75,000 $75,000–$100,000 Over $100,000
Home Size Up to 1500 sq. . 1501 to 2500 sq. . 2501 to 4000 sq. . Over 4000 sq. .
Home Locaon Rural Urban Suburban
Value of Home Less than $100,000 $100,000–$250,000 $250,000–$500,000 $500,000–$1 mil Over $1 mil
Customer Sasfacon
How would you rate your overall sasfacon with your new geothermal system?
1 (Very Dissased) 2 3 4 5 6 7 8 9 10 (Very Sased)
How would you rate your overall sasfacon with your installing geothermal contractor?
1 (Very Dissased) 2 3 4 5 6 7 8 9 10 (Very Sased)
Rev 30 DEC 2013B