WARRANTY REGISTRATION – comfortstarusa

WARRANTY REGISTRATION
Dealer Information
Company Name*
Company Email*
Address*

Address 1

Address 2

CityState

Postal CodeCountry
ComfortStar Equipment Information
Equipment Application is?*

ResidentialCommercial
Model Type*
Model Number*
Equipment Serial Number*
Serial# xxxxxxxxxxxxxxx
Date Installed*

MonthDayYear
Do you have more equipment to register?*

YesNo
Model Type 2*
Model Number 2*
Equipment 2 Serial Number*
Serial# xxxxxxxxxxxxxxx
Date Installed*

MonthDayYear
Do you have more equipment to register?*

YesNo
Model Type 3*
Model Number 3*
Equipment 3 Serial Number*
Serial# xxxxxxxxxxxxxxx
Date Installed*

MonthDayYear
Do you have more equipment to register?*

YesNo
Model Type 4*
Model Number 4*
Equipment 4 Serial Number*
Serial# xxxxxxxxxxxxxxx
Date Installed*

MonthDayYear
Do you have more equipment to register?*

YesNo
Model Type 5*
Model Number 5*
Equipment 5 Serial Number*
Serial# xxxxxxxxxxxxxxx
Date Installed*

MonthDayYear
Do you have more equipment to register?*

YesNo
Model Type 6*
Model Number 6*
Equipment 6 Serial Number*
Serial# xxxxxxxxxxxxxxx
Date Installed*

MonthDayYear
Do you have more equipment to register?

YesNo
Model Type 7
Model Number 7
Equipment 7 Serial Number
Serial# xxxxxxxxxxxxxxx
Date Installed

MonthDayYear
Owner Information
Full Name*

First NameLast Name
Email*
Phone Number*

Area CodePhone Number
Address*

Address 1

Address 2

CityState

Postal CodeCountry
Should be Empty: