11
Mak
e of Boa
t_____________________________________ Model_______________ Leng
th__________ Y
ear___________________
Mak
e of Mot
or_______________________________ Mot
or Siz
e ______________________ Single __________ T
wins ___________
Boa
t s
ta
ys:
In the wat
er
________
On a lift
________
On a trailer
________
Other
_________________________________________
Primar
y Use:
Cruising
_____
Fishing
_____
W
at
er Sports
_____
Transport
ation
_____
Commercial
_____
Other
___________________
Model Number (
on t
op of bo
x
) ________________________ Hea
ter Serial Number (
on bott
om of hea
ter
) _______________________--___
Place
of
Pur
chase___________________________________________
________
Da
te
of
Pur
chase
__________________
_
_________
Owner Name___________________________________________________________________________________________
_
_____
Addr
ess_____________________________________________________________________________________________________
City____________________________________________
St
at
e____________________________________
Zip_________________
Addr
ess
______________________________________________
___
Phone
________________________________
_
________
Commen
ts_________________________________________________________________________________
_
_________________
I ha
ve r
ead and under
st
and the abo
ve w
arr
an
ty (
Signa
tur
e
)_____________________________________________________________
M
ail to:
Xtr
eme H
eaters, A
tt. REGISTRA
TION, 5322 P
almer
o Cour
t, S
uite 300, B
ufor
d, GA 30518
Also av
ailable online: www
.xtr
emeheaters.com/warrantyform
Mail-In Heater Registration Page
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