Warranty Form | Daxom Electric Combi 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 *

Installation Check List Conformation , As Per Warranty T & C