Surge Protector Limited Warranty Registration
20
Revision 2007-06-20

Surge Protector Limited Warranty Registration

Complete this form to request a Limited Warranty, and

return it to:

Outback Power Systems Inc.

19009 62nd Ave. NE

Arlington, WA 98223
Note: A Limited Warranty Certi cate will only be issued if this Registration Card is received by OutBack
within 90 days of the date of the  rst retail sale of the eligible Product. Please submit a copy (not the
original) of the Product purchase invoice, which con rms the date and location of purchase, the price
paid, and the Product Model and Serial Number.
System Owner
Name: __________________________________________________________________________________
Address: _________________________________________________________________________________
City, State, Zip Code: _________________________________________Country: _______________________
Telephone Number: ____________________________________E-mail: ______________________________
Product Model Number:____________________________Product Serial Number:______________________
Sold by:_________________________________________Purchase Date: ____________________________
The following questions refer to the FX Series Inverter/Charger on which the FLEXware Surge Protector is installed:
FX Series Inverter/Charger Model Number:______________________________________________________
FX Series Inverter/Charger Serial Number:_______________________________________________________
Please circle the three most important factors a ecting your purchase decision:
Price Product Reputation Product Features Reputation of OutBack Power Value
System Install/Commission Date: ________________________System Array Size: ______________________
System Array Nominal Voltage: __________________________Type of PV Modules: _____________________
System Battery Bank Size (Amp Hours):____________________Type of Batteries:________________________
Please List Other sources of Back-up Power:_____________________________________________________
Installer: ___________________________________________Contractor Number:______________________
Installer Address: __________________________________________________________________________
Installer City, State, Zip: _____________________________________________________________________
Installer E-mail:____________________________________________________________________________