Warranty Registration

Name:
Address:
City:
State/Province:
Country:
Zip/Postal Code:
Phone#:
Fax#:
E-Mail:
Date of Purchase:
Place of Purchase:
Would you like to purchase a
5-year extended warranty?:

Product
Heater
Shower:
Other:

Application
Marine
Use:
Vehicle:
Other:
Vessel/Vehicle Year:
Vessel/Vehicle Manufacturer:
Engine(s) Power:
Please include manufacturer and model of engine

Heater Installation
Type of System:
Distance from Source
Installation Height:

Shower Installation
Type of System:

Problems, Questions or Notes