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

Hot Water Maker 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

Was the Hot Water Maker installed in:
Newly constructed home
Replacement of existing water heater


If replacement, what brand?
Amtrol
Other
If other, please specify


The decision to install an AMTROL water heater was made by:
Builder
Homeowner
Installing Contractor
Other
If other, please specify