Warranty Registration Form

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

Model:
Serial Number/Date Code:
Date Purchased		(mm/dd/yy)

Homeowner's Name
Address
City
State
Zip / Postal Code
Homeowner Telephone
Email Address

Installation performed by Homeowner Contractor
Contractor Name
Address
City
State
Zip / Postal Code
Installer's Telephone

Was the product installed in:
Newly constructed home
Replacement of existing product

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

The decision to install a WaterWorker product was made by:
Homeowner
Installing Contractor
Other
If other, please specify

To submit your registration, enter the code you see above:

Limited Product Warranty