HOMECONTACT USWARRANTY REGISTRATION
Warranty Registration Form
Product & Model
Serial Number
Date Purchased
Where Purchased
Your Name
Address
City
State
ZIP
Phone
Email
Installed by
 Man of the House
Woman of the House
Plumber
Other
Purchased by
 Man of the House
Woman of the House
Plumber
Other
Is this a new installation?
 New Installation
Replacement
If new installation, list previous make and model.
Why did you purchase this product?
 Remodel
Other
If replacement installation,, what was wrong with old unit...
Was the new product easy to install
 Very Easy
Somewhat Easy
Not Easy
If not easy, what problems were encountered?
 Plumbing
Electrical
Sink
Other
Why did you select this particular model?
 Features
Price
Confidence in Quality
How did you learn of the product?
 Newspaper Ad
Flyer
Store Display
Friend / Relative
Other
How did you find our website?
 Online Search
Newspaper Ad
Flyer
Store Display
Product Box or Literature
Friend / Relative
Other
Comments / Suggestions:
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AMC is a subsidiary of Western Industries, Inc.