FLOWMAX Technologies FLOWMAX-120 - Warranty Registration Form

Warranty Registration Form
E-mail: info@flowmaxtechnologies.com
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To ensure your warranty protection, please complete and return this form to FLOWMAX Technologies
Inc. attention Product Registration.
PLEASE COMPLETE THE FOLLOWING INFORMATION AND RETURN WITHIN 30
DAYS OF COMMISSIONING THE APPLIANCE (HOT WATER HEATER)
Please Print Clearly
Sold To:
Company Name________________________________________________________________
Contact Name__________________________________________________________________
Address_______________________________________________________________________
City______________________State/Province________________ Zip/Postal Code___________
Phone No. ____________________________ Fax_____________________________________
Item Purchased:
Unit Model____________________________Serial No. ________________________________
Date of Purchase _________________________ Date of Start up_________________________
Installers Gas Certification Number and Name________________________________________
Purchased From:
Company Name_________________________________________________________________
Contact Name__________________________________________________________________
Signature______________________________ Date__________________________________