Electric heating warranty registration form

Installation site details

First name *

Last name *

Company (if applicable)

Address *

Address 2:

City *

State/province: *

Zip code *

Email *

Phone: *

Date of installation *

Installer details

First name *

Last name *

Company *

Address *

Address 2

City *

State/province *

Zip code *

Email *

Phone *

Electrician details

First name *

Last name *

Company *

Address *

Address 2

City *

State/province *

Zip code *

Email *

Phone *

Product info

Product name *

Code no. *

Voltage *

Total watts *

Nominal ohm value *

Ohm measurement

Before installing *

After installing *

After embedment: *

After top layer *

MegaOhm value conductor 1 and ground: *

MegaOhm value conductor 2 and ground *

Covering

Material *

Tile Concrete Stonework/paver Asphalt Engineered wood Laminate Other

Other floor covering material *

Proof of purchase

Upload a copy of your receipt showing proof of Danfoss LX, GX or TX purchase.

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