Replacement Part List

Customer Installation Record Form

The following form should be completed by the quali ed installer / service technician for you to keep as a

record of the installation in case of a warranty claim. After reading the important notes at the bottom of the

page, please also sign this document.

Customer’s Name

Date of Installation

Installation Address

Product Model / Serial

Number(s)

Comments

Installer’s Code / Name

Installers Phone Number

Signed by Installer

Signed by Customer

Installation Notes

IMPORTANT

Customer: Please only sign after the quali ed installer / service technician has fully reviewed the installation,

safety, proper operation, and maintenance of the system. If the system has any problems please call the quali ed

installer / service technician. If you are unable to make contact, please call your sales representative.

Distributor / Dealer: Please insert contact details.