Daxom Boiler Warranty Registration | Daxom Electric Boilers

Name *

First

Last

Name on the Invoice if different

Address where the boiler is installed *

Telephone Number *

Email *

Model *

Serial Number *

This can be found on the bottom of the unit.

Date of Purchase *

Date of Installation *

Name of Installer (Plumber) *

Contact Details *

Name of Installer (Electrician) *

Contact Details *

if Installer of

Installation Check List Conformation , As Per Warranty T & C

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