Cana-Vac Warranty Registration Form

Serial Number *

Power Unit Model *

Purchase Date (DD/MM/YYYY) *

Total Cost *

Dealer Name *

Dealer City *

First Name *

Last Name *

Email *

Street *

City *

State/Province *

Zip/Postal Code *

Country *

(Optional questions)

Installed By:

Is your home roughed in?

Do you have pets?

Please select your age group

Do you have children?