AP18733 REV. 3.2.17
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CUSTOMER INSTALLATION RECORD FORM
The following form should be completed by the installer for you to keep as a record of the installation in case of a warranty claim. After reading the
important notes at the bottom of the page, please also sign this document.
IMPORTANT NOTES:
Customer: Please only sign after the installer has reviewed the installation, safety, proper operation and maintenance of the system.
In the case that the system has any problems, please call the installer. If you are unable to make contact, please contact your Sales
Representative.
Distributor/Dealer: Please insert contact details.
Customer’s Name:
Installation Address:
Date of Installation:
Installer’s Code/Name:
Product Serial Number(s):
Combustion Setting at Time of Installation:
Comments:
Installer’s Phone Number:
Signed by Installer:
Signed by Customer:
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