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Warranty Registration
First Name
Hand print only. Use black or blue ink pen to fill in this form. Cross or check inside the circle.
Your Information
Last name
Postal code
State
City
Mailing Address
E-mail Address
Product Information
State
Date of Purchase (MM/DD/YY)
Store Name
City
Cost of Heater ($)
-
/ /
Annual house hold income before tax
<$9,999 $10,000 to $19,999
$20,000 to $34,999 $20,000 to $34,999
>$50,000
Age of Purchaser
20-29 years 30-39 years 40-49 years 50-59 years >60 years<20 years
S/N (Located on a silver label on heater)
-
Model Number (Located on a black and white label on heater)
Brand Name
All Pro Universal National Riverside
Store Information where heater was purchased
Type of Store
Hardware Home Center Warehouse Retailer Discount Store Farm Supply
Contractor’s Supply Other
Your Preferences
How did you learn
about our heater?
Advertising Relative/friend
Store display
Previously owned heater
Other
What prompted you to
buy your heater?
Sudden cold weather Emergency backup heat
Heater on sale
Replaces old model
Hard to heat location
Construction project
Other
Where will you use the
heater?
Construction site
Warehouse
Shop Patio
Other
Who selected the heater?
Male
Female Both
Heater will be used by?
Individual Business
In choosing your heater the following categories
were:
Important
Somewhat
Important
Very
Important
Features
Portability
Price
Quality
Heat Output
Warranty
Serviceability
Ease of use
Fuel economy
Size
Registering this heater within 10 days of purchase ensures the buyer the protection as stated on our limited warranty form.
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