WaterBoss



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		On-line Product Registration

You can use the form here to register your WaterBoss® Water Softener or related product. Registration is important for our service initiatives and to activate your warranty. Because of this, it's important that you register your WaterBoss® with us within thirty days of your purchase. Thanks for taking the time to register and for choosing WaterBoss®.

* PRODUCT SERIAL NUMBER

* LAST NAME

* FIRST NAME

* ADDRESS

* CITY

* STATE/PROVINCE

* ZIP/POSTAL CODE

MODEL

* COUNTRY

E-MAIL

RE-TYPE E-MAIL

* PHONE

FAX

* INSTALLATION DATE

INSTALLER

IS THIS YOUR FIRST WATER CONDITIONER?
Yes No

IS THIS A REPLACEMENT?
Yes No

WHERE WAS THIS WATER CONDITIONER PURCHASED?

* STORE NAME

ADDRESS

* CITY
* STATE/PROVINCE

* ZIP

* COUNTRY

HOW MANY PEOPLE ARE IN YOUR FAMILY?

ARE YOU
Married Single

IS THIS FOR A NEW HOME?
Yes No

HOW DID YOU LEARN ABOUT OUR PRODUCTS?
Web site
Circular
In-store ad
Other

Would you like to be informed of new products and services from WaterBoss?
Yes No

Please submit your product registration in ONE of three ways:

1.	Fill in all required information and click on "Submit my registration" below.
2.	Print your registration and fax it to (614) 836-9876.
3.	Print your registration and mail it to: Waterboss P.O. Box 298 Groveport, OH 43215