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
2 digit day, 2 digit month, 4 digit year
Hour MinutesAM/PM Option
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Basic Installation Details:

This section relates to the basic details of the installation.
Product For Warranty:
Installation Location Description
(e.g. Front Room)
Installation Location Address

Street Address

Street Address Line 2

CityCounty

Postcode
Installation Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
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
Please confirm you have permission from the customer to provide their details for them to receive confirmation of their warranty.
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: