Customer Registration Form

To begin the registration process, please first confirm that you are human.

Customer Registration Information.

Why do we need this information?

We will ask you for basic personal information to set up your account. This will allow us to remember you each time you visit and give you easy access to the DR RADIATOR website functions. We will also use this data to fill in other forms on your behalf automatically so you're not repeating the same information. We're also able to manage your account and send you important information more efficiently.

 You will be asked to enter your unique identifier during this process, which will allow us to link all your forms, reports, receipts, and product information together in one step.

keep your Unique Identifier safe.

You can find it on your invoice. 

Important Information

Please Read Carefully

The next screen will provide you with your account number. You should retain this number in order to be able to manage your account.