AMTROL Warranty Registration Form

Model:
Serial Number:
Date Purchased
Date Format: MM slash DD slash YYYY
Homeowner's Name
Street Address
City
State
Canadian Province / Territory
Zip / Postal Code
Country
Homeowner Telephone
Email Address*
Installer / Contractor Name
Address
Street Address City State / Province / Region ZIP / Postal Code
Installer's Telephone
Was the product installed in:
- Newly constructed home
- Replacement of existing product
If replacement, what brand?
- Amtrol
- Other
If other, please specify
The decision to install an AMTROL product was made by:
- Builder
- Homeowner
- Installing Contractor
- Other
If other, please specify
Phone
This field is for validation purposes and should be left unchanged.