Surge Protector Limited Warranty Registration
20
Revision 2007-06-20
Surge Protector Limited Warranty Registration
Complete this form to request a Limited Warranty, and
return it to:
Outback Power Systems Inc.
19009 62nd Ave. NE
Arlington, WA 98223
Note:
A Limited Warranty Certifi cate will only be issued if this Registration Card is received by OutBack
within 90 days of the date of the fi rst retail sale of the eligible Product. Please submit a copy (not the
original) of the Product purchase invoice, which confi rms the date and location of purchase, the price
paid, and the Product Model and Serial Number.
System Owner
Name: __________________________________________________________________________________
Address: _________________________________________________________________________________
City, State, Zip Code: _________________________________________Country: _______________________
Telephone Number: ____________________________________E-mail: ______________________________
Product Model Number:____________________________Product Serial Number:______________________
Sold by:_________________________________________Purchase Date: ____________________________
The following questions refer to the FX Series Inverter/Charger on which the FLEXware Surge Protector is installed:
FX Series Inverter/Charger Model Number:______________________________________________________
FX Series Inverter/Charger Serial Number:_______________________________________________________
Please circle the three most important factors aff ecting your purchase decision:
Price Product Reputation Product Features Reputation of OutBack Power Value
System Install/Commission Date: ________________________System Array Size: ______________________
System Array Nominal Voltage: __________________________Type of PV Modules: _____________________
System Battery Bank Size (Amp Hours):____________________Type of Batteries:________________________
Please List Other sources of Back-up Power:_____________________________________________________
Installer: ___________________________________________Contractor Number:______________________
Installer Address: __________________________________________________________________________
Installer City, State, Zip: _____________________________________________________________________
Installer E-mail:____________________________________________________________________________
