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Dealer Installation Form
Please fill out this form and submit to receive a warranty for the property. All properties must be be verified the property was installed properly. After submission, you can download the warranty.
15
Questions
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1
Dealer / Reseller
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2
Owners initials
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3
Project / Property
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4
Property Address
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5
Your Name
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6
Your Phone
Please enter a valid phone number.
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7
Your Email
example@example.com
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8
Installation Company
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9
Lead Installer
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10
Project Start Date
-
Date
Month
Day
Year
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11
Project End Date
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Date
Month
Day
Year
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12
Toilet Tanks Fully Installed
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13
Toilet Tanks Skipped During Installation
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14
Flush Valve & Flapper Size (2" or 3")
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15
Installation Notes
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