Product Registration Form

Personal Details

First Name *

Last Name *

Email Address *

Contact 1 *

Contact 2

The equipment is for *

Business Use
Residential Use

Business Name

Product Details

Where is the equipment located?

Street *

City *

State / Province

Postal / Zip code

Purchase From *

Purchase Date *

Invoice Number*

Please Upload Invoice here; (Note: Please combine in one file if to register multiple products)

Choose file or drag here

Supported format: JPG, JPEG, PNG, PDF

temp-for-124112-file2-1_

Model Number *

Serial Number *

Fill more below if you have multiple products to register:

(Item #2) Model Number

(Item #2) Serial Number

(Item #3) Model Number

(Item #3) Serial Number

(Item #4) Model Number

(Item #4) Serial Number

(Item #5) Model Number

(Item #5) Serial Number

(Optional) If you have purchased gas units, please supply certificate of compliance and provide the fully licenced gas fitter details below:

Gas equipment warranty will not be valid until your commissioning certification has been submitted.

Was the gas equipment installed by a certified gas fitter/Plumber?

Please upload Gas Commissioning Certification here:

Choose file or drag here

Supported format: JPG, JPEG, PNG,PDF

temp-for-124112-file2-2_

Comment

This Form is submitted by:

Submitter Name *

Submitter Email

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Perth Clearance

COLLECTIONS

Refined By

No products found Use fewer filters or clear all

Edit Option

Have Questions?

Notify Me

No products found
Use fewer filters or clear all