Product Warranty Registration

Please take a moment to fill in this form in it's entirety. This information will be used to inform you of product updates, maintenance issues, specials, etc. We appreciate your time so much that you will receive a small gift in the mail shortly. You will also qualify to win $200 in our monthly Draw.

ONLINE WARRANTY REGISTRATION FORM
*Name		Company
*Address		*Telephone
*City		*State
*ZIP Code		*Email
*Country	United States	* Required

Reason for Installation	Where is unit installed?	Type of building
Basement bathroom Toilet & Handbasin Kitchen / Laundry Sink Apartment Conversion Attic Conversion Cabana Other: (type below)	Main Floor (1st floor) 2nd Floor Attic Basement Other: (type below)	Detached Semi Detached Apartment Office Mobile Home Vacation Home Other: (type below)

Did you purchase the product as a result of:		Specify the area that you live in:
Advertisement Trade or Home show Neighbor Saw it at a dealer Other: (type below)		Rural Area Urban Area What was the time period between the initial information on the product and the actual purchase of the product?

* Which Saniflo product is this? Saniplus Sanicompact Sanigrind Sanivite Sanipro Sanipack Sanistar Sanibest Sanishower   Is this a new installation or a replacement? New installation Replacement * Date of Purchase:         The company that sold you the SANIFLO product: Price paid for the SANIFLO product:

The product was installed by: Yourself A handyman or friend A professional plumber Installation cost Approx. installation cost of complete bathroom, laundry or kitchen installation: Please fill in this section if a professional plumber installed the product for you: Installer Company Address City State ZIP code Telephone Email

 

Thank you for taking the time to fill out this questionaire!