PLEASE COMPLETE THE FOLLOWING INFORMATION
RETURN WITHIN 30 DAYS OF COMMISSIONING
THE APPLIANCE (HOT WATER HEATER)
Please Print Clearly
Sold To:
Homeowner's Name:
Address:
Unit #:
City:
Province: Postal Code:
Phone No.
Fax:
Email Address:
Item Purchased:
Unit Model:
Serial No.
Date of Purchase:
Date of Startup:
Purchased From:
Installing Contractor's Name:
Address:
City:
Phone No.
Province: Postal Code:
Email Address:
Fax:
Signature:
Date:
Please complete and return this form to Glow Brand.
ATTENTION: Product Registration.
To Next Page
Loading...