Is heating water supplied from boiler? | Yes | No |
|
|
| ||||||
If No, describe: |
|
|
|
|
|
|
|
| |||
Heating water pump flow rate: |
| GPM | Pump Horsepower: |
| HP |
| |||||
Supply water temperature: | °F | Return Water temperature: |
| °F |
| ||||||
|
|
|
|
|
|
|
|
|
|
|
|
Comments:
Service Company Name: |
|
| Phone: |
| ||||
Service Company Address: |
|
|
|
|
| |||
|
| Date: |
| |||||
Customer Representative: |
|
| Date: |
| ||||
Important: You must submit the original copy of the completed form to your PVI representative before the warranty will become effective on this product. Contact Customer Service for assistance at
PV 19 8/05 | Page 3 of 3 |