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Retro-DWS
Warranty Form
CONGRATULATIONS
!
You have just purchased the most advanced internal freeze-protection system available on the market,
backed by the finest warranty offered in the industry. Your Retro-DWS system comes with a standard 5 year
limited warranty with an optional 10 year limited warranty available.
~ The warranty applies only to the original purchaser of the product and is not transferable at any time for any reason.
The warranty form must be filled out and returned to Heat-Line within 6 months of invoice date or unit manufactured date plus
9 months to be eligible for the 10 year extended warranty. ~
OWNER MAILING ADDRESS
INSTALLATION ADDRESS
(if different than mailing)
Name
Name
Address
Address
City
City
Prov/State
Postal/ZIP
Prov/State
Postal/ZIP
Country
¨
Canada
¨
Other:
Country
¨
USA
Home Phone
Work/Cell
PRODUCT INFORMATION
Product Cat.#
Installation Type:
¨
Sewage
¨
Grey water
¨
Drain
¨
Other:
Serial #
Length
WARRANTY INFORMATION
5 Year Limited Warranty:
INCLUDED!
¨
10 Year Limited Warranty: $1.50 / foot ($60.00 minimum)
PAYMENT DETAILS FOR 10 YEAR LIMITED WARRANTY
System Length*
System Length*
= Subtotal
1 – 40 feet = $ 60.00
41 – 540 feet = $ 1.50 per foot
x $ 1.50/ft
* For custom lengths involving inches, round up to the nearest foot
Taxes and Currency
If U.S. Address or Other Country:
No Taxes Apply
Total in US Currency:
PAYMENT METHOD
¨
Cheque
Credit Card:
¨
Mastercard
or
¨
Visa
Enclose and make out to Heat-Line for full amount
Name on Card:
Card Number:
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Expiration Date:
__ __
__ __
CONGRATULATIONS
!
You have just purchased the most advanced internal freeze-protection system available on the market,
backed by the finest warranty offered in the industry. Your Retro-DWS system comes with a standard 5 year
limited warranty with an optional 10 year limited warranty available.
~ The warranty applies only to the original purchaser of the product and is not transferable at any time for any reason.
The warranty form must be filled out and returned to Heat-Line within 6 months of invoice date or unit manufactured date plus
9 months to be eligible for the 10 year extended warranty. ~
OWNER MAILING ADDRESS
INSTALLATION ADDRESS
(if different than mailing)
Name
Name
Address
Address
City
City
Prov/State
Postal/ZIP
Prov/State
Postal/ZIP
Country
¨
Canada
¨
Other:
Country
¨
USA
Home Phone
Work/Cell
PRODUCT INFORMATION
Product Cat.#
Installation Type:
¨
Sewage
¨
Grey water
¨
Drain
¨
Other:
Serial #
Length
WARRANTY INFORMATION
5 Year Limited Warranty:
INCLUDED!
¨
10 Year Limited Warranty: $1.50 / foot ($60.00 minimum)
PAYMENT DETAILS FOR 10 YEAR LIMITED WARRANTY
System Length*
System Length*
= Subtotal
1 – 40 feet = $ 60.00
41 – 540 feet = $ 1.50 per foot
x $ 1.50/ft
* For custom lengths involving inches, round up to the nearest foot
Taxes and Currency
If Canadian Address:
Subtotal:
Provincial Tax %:
Tax Due:
Total in CDN Currency:
PAYMENT METHOD
¨
Cheque
Credit Card:
¨
Mastercard
or
¨
Visa
Enclose and make out to Heat-Line for full amount
Name on Card:
Card Number:
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Expiration Date:
__ __
__ __