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Quantum 67ACW2-134 - Section 1: APPLIANCE DETAILS; 1 a: Owners Details; 1 b: Installers Details; 1 c: Service History Log

Quantum 67ACW2-134
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Owners Manual Quantum Energy Technologies
Section 1: APPLIANCE DETAILS
For future convenience, please fill in the following details and retain with your original invoice.
1a: Owner’s Details
Surname : …………………………………… Given Name(s) : ….………………………....
Address : ……………………………………………………………………………...…………
Town/Suburb : ……………………………………………………………………..……………
State/Territory : ……………………………… Postcode : ……………………………………
Date of Purchase : .….……….………………
Purchased From : ………………………………………..………………………………….……
Model : ..…………………………………….. Serial Number : ………………..…………….
Date of Manufacture: .……………………………………………………………….………….
(Details on Data Plate on water heater)
1b: Installer’s Details
Date of Installation : ………………………… Installer’s Name : ………………………..…..
Address : …………………………………….……………………………….…………….……
Installer’s Signature : …………………………………….………………….……………….….
1c: Service History
Date of Service : ............................................. Serviced By : …………….………………….
Work Carried Out : …………………….………………………………………………….…….
Signature of Service Agent : .……………………………….…………………………………..
Date of Service : ............................................. Serviced By : ……………….……………….
Work Carried Out : …………………………………………………………….……………….
Signature of Service Agent : .……………………………...……….………….………………..
Document Number : QDC0049PD-5 Page 5 of 33

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