Lifetime Pool Care and Product Registration Form

First Name

Surname

Unit Number

House Number

Street Name

Suburb

Postcode

State

Email Address

Mobile Number

Telephone Number

Product and Installation Details

Product 1

Serial Number 1

Product 2

Serial Number 2

Product 3

Serial Number 3

Product 4

Serial Number 4

Product 5

Serial Number 5

Place of Purchase / Installer

Date of Install

Proof of Purchase Upload

Please upload a picture or scanned copy of your Proof of Purchase. This way we have it on file if you were to misplace it. To make a warranty claim a Proof of purchase is required.

Drop your files here

Additional Information

Gender

Age

Marital Status

Number of Children

Where did you hear about Theralux?

Send me a copy of my responses

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