OWNER WARRANTY REGISTRATION

Thank You for Choosing Heat Siphon
The Most Cost Effective Pool Heater Made!

Please complete the form below and click the "Submit Registration" button at the bottom of the page.
You can click the "RESET FORM" button to clear the form and start over.
* Designates Required Items

Enter THIS WORD IN:

Heat Siphon® Owner Personal Information:
(No information will be released or used in any way without your express permission)
 
Assoc. -Group Name:
Owner Type:
* First Name:

* Middle Initial

* Last:Name:
* E-mail:

Occupation:
* Work Phone:
Yearly Income:
Birthday:
Month / Day / Year
* Home Phone:

FAX:

* Address:

* City:

* State:
Province:
* Country:

* US ZIPCode:

or FOREIGN Postal Code

Notify Me of Product Updates By: Email FAX Mail
Heat Siphon® Product Information:

Please Specify the MODEL and SERIAL NUMBER of Your Heat Siphon

* MODEL:

* SERIAL NO:
* Date Installed:
Month / Day / Year
* Total Installed Cost:
including plumbing and electric
Purchase Information
* Type of Purchase:
1st Time Pool / Spa Heater Owner
Replacement of Existing Heater
Adding to Existing Heater
     
*     WHY DID YOU CHOSE HEAT SIPHON?
Check main reason(s):
Brand Reputation
Service Reputation
Friend Recommended
Installer Recommended
My Own Research
Price
Warranty
Corrosion Resistance
Efficiency
Quality
OTHER REASON:
 
     
     
OLD Heater Information
If replacing OLD Heater, Please check reason(s) for replacement:
Heater Failure
Cabinet Rusted Out
Bad Heat Exchanger
Heater Age
Efficiency/ Operating Cost
Low Heat Output
Poor Performance
Reliability
OTHER REASON:
 
       
OLD Heater Type:
   
OLD Heater Brand:
 
OLD Heater Model:
Other Brand:
System Information
*   Type of System: Pool Spa
Pool /Spa
Residential
Commercial
Outdoor
Indoor
       
* Type of Pool/Spa:
Please Select
All that Apply
Vinyl Liner
Concrete
Fiberglass
Inground
Above-ground
Domed
Screened
   
Pool Surface Area:
Spa Surface Area: Use Pool Units
Pool Volume:
Spa Volume: UsePool Units
Pool/ Spa Age:
 
   
Pool/ Spa Cost:
   
How Did You FIRST Hear About Heat Siphon?
Heat Siphon Owner
Pool Builder
Pool Serviceman
Pool Supply Co.
A/C Contractor
Solar Contractor
Friend
Phone Book
Internet
TV
Magazine
Radio
Mailer
Newspaper
E-mail
Other
If Other , Please Specify:
INSTALLER:

* Installied By:

Installer Type:

Address:

City:

State:

Province:

Country:

Postal Code:

Phone:

FAX: