Whirlpool WEG515S0FV : Fit System Guarantee : Page 3

Address: ________________________________________ City: _______________________ Province: _________ Postal

Code: ____________

Whirlpool® Model Number: _________________________________Serial Number:

_________________________________________

Date of Purchase: ___________/__________/__________ Date of Delivery: __________/__________/___________

Customer Signature: _________________________________________________________ Date:

________/_________/_________

TERMS: Limit one claim per household. Qualified replacement models must be purchased between January 1, 2019 and December 31, 2019

from an authorized Canadian Whirlpool® dealer. Consumer will receive the countertop cut-out modification cost as stated on the professional

installer or contractor invoice up to a maximum value of $100. Not valid for new installations related to new home construction or remodeling.

LATE SUBMISSIONS WILL NOT BE ACCEPTED. Offer is available to Canadian residents only. Not valid for bulk or mult- unit sales to apartments,

condominiums, subdivisions, and wholesalers. Omission of any required information will delay processing or disqualify your request. All

submitted proofs become the property of Whirlpool Canada LP and cannot be returned. Whirlpool Canada LP cannot be responsible for lost,

late, illegible, incomplete, damaged or misdirected submissions or postage due requests/mail. ALL CLAIMS SUBJECT TO AUDIT. Whirlpool

Canada LP may terminate, suspend, or amend this program at any time without prior notice.