24
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
Summary of Contents for Alliance 119SL
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