In order to ensure warranty coverage, please complete this registration form within 30 days of the product purchase date.

BoilerMate® Model:
Serial Number:		(Located By The Control Panel)
Date Purchased		(mm/dd/yy)
Homeowner's Name
Address
City
State
Zip / Postal Code
Homeowner Telephone
Email Address
Installer / Contractor Name
Address
City
State
Zip / Postal Code
Installer's Telephone