NOTES:

INSTALLER TO COMPLETE AND SUBMIT DETAILS WITHIN 7 DAYS OF INSTALLATION. WARRANTY SERVICE IF REQUIRED CANNOT BE AUTHORISED UNLESS THIS FORM WITH ALL DETAILS ARE ADVISED.


PROJECT DETAILS


INSTALLATION DETAILS

System Piping Installation*
Water System Flushed*
Inhibitor Added*

If inhibitor added, what brand was it?

Name of person submitting form


It is a condition of sale that this information is provided to Automatic Heating in view of Warranty Registration. Failure to provide this information will deny any applicable warranty service. All transactions are subject our terms and conditions of trading available on request.