Warranty Registration

• Please Provide Your Contact Information

• Name * Title First Last
• Address *
  Street Address

  Address Line 2

  City/Suburb/Town

  State

  Postal / Zip Code
• Contact Details
  Phone (Home)
  Phone (Work)
  Phone (Mobile)
• Email
• Product Information *
  Product Serial
  Product Purchased From
• Product Purchase Date
  Product Date Installed
• Installer Name
  Installer Phone Number
• The product was purchased for new installation replace existing unit extension / renovation
• Is the appliance being used in home office school child care centre unit/apartment
• How did you hear about Rinnai recommended by installer recommended by shop assistant yellow pages tv internet local newspaper glossy magazine
• Owners age group
  Select Age Group 20 - 30 31 - 40 41 - 50 51+
• Were you aware of Rinnai prior to purchase *
• What other appliances did you consider when purchasing the product *
•