Outback Power Systems GVFX, GTFX Year Warranty Registration California, System Owner, Product

10-Year Warranty Registration - California

To request a 10-year Limited Warranty; complete this form along with a check or money order in the amount of $599 USD payable to OutBack Power Systems, Inc., and return it to:

Outback Power Systems Inc.

19009 62nd Ave. NE • Arlington, WA 98223

NOTE: A 10-Year Limited Warranty Certificate will only be issued if this registration card is received by Outback within 90 days of the date of the first retail sale of the eligible product. Please submit a copy (not the original) of the product purchase invoice, which confirms the date and location of purchase, the price paid, and the product model and serial number. The warranty certificate is available only for and will only be issued for GTFX, GVFX and PS1 products installed in fixed location (non-mobile) applications within the state of California.

10-Year Warranty Registration for GVFX, GTFX and PS1-California

System Owner

Name: ______________________________________	E-mail: __________________________________
Address: ____________________________________	City, State, Zip Code: _______________________
Country: ____________________________________	Telephone number: ________________________

Product

Product model number:________________________		Product serial number:_____________________
Sold by:______________________________________		Purchase date: _____________________________
Please circle the three most important factors affecting your purchase decision:
• Price	• Product Reputation	• Product Features
• Reputation of OutBack Power		• Value

System

System install/commission date: __________________	System array size: __________________________
System array nominal voltage: ___________________	Type of PV modules: _______________________
System battery bank bize (amp hours):_____________	Type of batteries:___________________________

Please list other sources of back-up power:_____________________________________________________________

_____________________________________________________________________________

______________________________________________________________________________________

Installer

Installer: ____________________________________	Installer e-mail:____________________________
Installer address: ______________________________	Installer City, State, Zip: _____________________
Contractor number:____________________________

29 Revision.2007-06-26