Warranty Registration

Warranty Registration

Please submit your details below to register for warranty.
Your Details:

This section relates to your personal, professional, and contact details.
Name*

First NameLast Name
E-mail*

Confirmation Emailexample@example.com
Landline Number

Area CodePhone Number
Phone Number*
Please enter a valid phone number.Format: 00000 000000.
Your Qualification*
(e.g. HETAS)
Installation Company*
Installers Address
Installer Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Application Date*

DayMonthYear

Hour MinutesAM/PM Option
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Basic Installation Details:

This section relates to the basic details of the installation.
HT-SMidflex Solid Fuel LinerMidflex 316Midflex 904L
Installation Location Description*
(e.g. Front Room)
Installation Location Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Installation Date*

DayMonthYear
Date
Installation Address
Batch Number:
Model Name/Appliance Type:*
Type of Fuel:*
Output (kWh):*
Chimney System Length (m):*
Chimney System Dia. (mm):*
Distributor Name:*
Distributors Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Distributor Address
I confirm
Customer Details*

First NameLast Name
Customer Email*
example@example.com
Please ensure all details on this form are accurate and correct.
Failing to do so may void the warranty.
How did you find the completion of this form?
How could it be Improved?
Page 2 of 2
Should be Empty:

Your Details: