Hydro Action AP-500 - Hydro-Action Warranty Registration

Hydro-Action
®
Warranty Registration
2055 Pidco Dr. / P.O. Box 640
Plymouth, IN. 46563
800.370.3749
This form must be filed with Hydro-Action
®
by the dealer within 30
calendar days after installation or all warranties are void.
Owner/User ___________________________________________________________
Address ______________________________________________________________
City/County/State/Zip ____________________________________________________
Phone ________________________________________________________________
Best time to be reached __________________________________________________
Dealer/Installer _________________________________________________________
Address ______________________________________________________________
City/County/State/Zip ____________________________________________________
Phone ________________________________________________________________
Distributor (if applicable) __________________________________________________
Service will be performed by:_________________________________________ _____
Name ________________________________________________________________
City/County/State/Zip ____________________________________________________
Phone________________________________________________________________
Type of Installation: Residential ________________Commercial __________________
Number of residents or occupants ______ Garbage Disposal? Yes ______ No ______
Date Installed __________________________________________________________
Plant Model # _______________________ OPS
®
Model # _______________________
Plant Serial # _______________________ Air Pump Serial # ______________________
Effluent disposal method & equipment used __________________________________
Controlling Regulatory Agency: ____________________________________________
Agency _______________________________________________________________
Sanitarian _____________________________________________________________
Address ______________________________________________________________
City/County/State/Zip ____________________________________________________
Phone ________________________________________________________________