19. Producer Statement and Warranty Registration Form
PRODUCER STATEMENT & WARRANTY REGISTRATION FORM
Fax To
: 03 348 1743 or
Post To
: PO Box 11-043, Sockburn, Christchurch 8443 or
Scan & Email To
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PRODUCT (please tick one)
Pellet Boiler
Pellet Fire
Apricus Solar
Customer Details
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Installation Address:
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Product Details
Date of Installation:
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Installation Details
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Date of Installation:
Installer’s
Accreditation
#
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Resource Consent #
Declaration
Declaration by Approved Technician:
I ______________________________________ hereby certify that the
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Signed:
Date:
Declaration by Owner:
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Signed:
Date:
Christchurch Only
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Signed:
Date:
Retro Fit:
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Solar Installation Details
No. of Collectors .............................................................
Collector Location ..............................................
(eg 1 x AP20 etc)
(e.g. Roof, Ground level etc)
Tank Location .................................................................
Purpose ...............................................................
(eg Attic, Basement, Outside)
(e.g. Central Heating, Hot Water, Spa Pool etc)
Liquid in Collector ..........................................................
System Type: .......................................................
(eg Water, Glycol Water mix)
(e.g. Mains/Low Pressure, Closed/Open Loop)
Summary of Contents for Camino
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