Product Registration

Customer/Company Name:(Required)

Customer Address:

Customer Phone Number:(Required)

Customer Email Address:(Required)

Installer Name (if different from Company name):

Installer Address (if different from Customer Address):

Installer Phone number (if different from Customer Phone Number):

Installer Email (if different from above):

Date of Purchase (date selection field)(Required)

Date of Installation (date selection field)(Required)

Invoice Number

Product Model Number:

Product Serial Number ( If Applicable) :

If an RO system please provide the Pump Serial number in addition to the RO serial number:

Upload picture of Product Serial Number :(Required)

Max. file size: 3 GB.

Upload additional picture of Pump Serial Number (if an RO system)(Required)

Max. file size: 3 GB.

Upload picture of Installation(Required)

Max. file size: 3 GB.