Optional Lifetime Warranty Registration Card
Available to Residential, Single Family Homes Only
Yes, I wish to purchase the Optional Lifetime Warranty!
DATE _ _____________________________________________________________________
PURCHASER’S NAME _ _______________________________________________________
HOME ADDRESS ____________________________________________________________
CITY _____________________________ STATE __________________ ZIP ______________
HOME PHONE _____________________ EMAIL ____________________________________
ALLIANCE SL™ WATER HEATER SERIAL NUMBER (9 DIGITS)
COMPANY PURCHASED FROM ________________________________________________
INSTALLING COMPANY NAME _________________________________________________
ADDRESS _ _________________________________________________________________
CITY _____________________________ STATE __________________ ZIP ______________
COMPANY PHONE ___________________________________________________________
DATE OF INSTALLATION _ _____________________________________________________
NOTE: To obtain the Optional Lifetime Warranty, this card must be filled out completely and returned to U.S. Boiler Company, Inc. along with payment of one hundred dollars ($100) within 30 days of installation/occupancy.
METHOD OF PAYMENT (Check One):
CHECK PAYABLE TO: U.S. BOILER COMPANY, INC. ENCLOSED.
OR CHARGE MY: | VISA | MASTERCARD |
CARD NUMBER ___________________________________________ “V” number _ _______
(Verification “V” number is last three digits of number printed on back of credit card.)
CREDIT CARD EXPIRATION DATE _ _____________________________________________
NAME ON CREDIT CARD ______________________________________________________
SIGNATURE ________________________________________________________________
Complete form, cut along dotted line, and return with payment to:
U. S. Boiler Company, Inc.
Attn: Alliance SL™ Extended Warranty Program
P.O. Box 3079 – Lancaster, PA 17604
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