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ADVANCE PLUS 90 Protection

®

Warranty Registration Form

WR No. _____________________

Name of Installation (User) ______________________________________________________________________________

Street Address  _______________________________________________________________________________________

City ____________________________ State (Province/Region) ________________ Zip___________ Country ___________

Contact Person _____________________________________________ Title ______________________________________

Phone ______________________ Fax  _______________________ e-mail _______________________________________ 

Name of Labor Provider ________________________________________________________________________________

Contact Person _____________________________________________ Title ______________________________________

Phone _______________________ Fax  _______________________ e-mail _____________________________________

Type of Labor

❏ 

Energy Service Company   

❏ 

Electrical Contractor   

❏ 

Lighting Maintenance Service   

❏ 

Other __________________________________

Installation Information

Approx. No. of Lamps _____________________________  Approx. No. of Ballasts _______________________________

Start-Up Date (MM/DD/YY) __________________________ End Date (MM/DD/YY) _______________________________

Lamp  Brand

Lamp Types

Ballast Types

Ballast  SKUs

❏ 

GE

❏ 

F32T8

❏ 

Fluorescent Ballasts - Electronic

___________

❏ 

Osram/Sylvania

❏ 

F96T8

❏ 

Flourescent Ballasts - Magnetic     ___________

❏ 

Philips

❏ 

Compact Fluorescent

❏ 

HID Ballasts - Electronic                ___________

❏ 

Venture

❏ 

T5/HO

❏ 

HID Ballasts - Magnetic                 ___________

❏ 

Other _____________________

❏ 

Pulse Start Metal Halide

❏ 

Other _____________________    ___________

❏ 

Ceramic Metal Halide

❏ 

Other _____________________

Industry Segment

❏ 

Commercial/Office Bldg.

❏ 

Retail Store   

❏ 

Hospital                  

❏ 

Other _______________

❏ 

Industrial/Warehouse

❏ 

Government  

❏ 

School/University  

Name of Advance Distributor____________________________________________________________________________

City ____________________________ State (Province/Region) ________________ Zip__________ Country ___________

Contact Person _____________________________________________ Title ______________________________________

Phone ______________________ Fax  _______________________ e-mail _______________________________________ 

Distributor Signature _________________________________________________ Date______________________________

Advance Sales Representative ___________________________________________________________________________

-IMPORTANT-

To apply for PLUS 90 Protection, complete and fax or mail this form within 30 days from date of installation start-up.
Retain a photocopy for your records.

Send to:

Advance

c/o Warranty Service Team

10275 W. Higgins Rd.

Rosemont, IL 60018

or Fax to: 847-768-7768

Once received and acknowledged, Advance will assign a Warranty Replacement (WR) number to the form and will return an Acceptance Copy to you.

When filing a claim, call Advance’s Warranty Service Team toll-free at 1-800-372-3331 and reference the WR number as indicated.

Register online at www.advancetransformer.com/plus90

Advance use only

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