OWNER WARRANTY REGISTRATION

Thank You for Choosing Heat Siphon
The Most Cost Effective Pool Heater Made!

Please complete the form below and click the "Submit Registration" button at the bottom of the page.
You can click the "RESET FORM" button to clear the form and start over.
* Designates Required Items

Enter WORD IN THIS Picture:

Heat Siphon® Owner Personal Information:
(No information will be released or used in any way without your express permission)
 
Assoc. -Group Name:
Owner Type:
* First Name:

* Middle Initial

* Last:Name:
* E-mail:

Occupation:
* Work Phone:
Yearly Income:
Birthday:
Month / Day / Year
* Home Phone:

FAX:

* Address:

* City:

* State:
Province:
* Country:

* US ZIPCode:

or FOREIGN Postal Code

Notify Me of Product Updates By: Email FAX Mail
Heat Siphon® Product Information:

Please Specify the MODEL and SERIAL NUMBER of Your Heat Siphon
* MODEL:

* SERIAL NO:
* Date Installed:
Month / Day / Year
* Total Installed Cost:
 including plumbing and electric
Purchase Information
* Type of Purchase:
 1st Time Pool / Spa Heater Owner
Replacement of Existing Heater
Adding to Existing Heater
     
*     WHY DID YOU CHOSE HEAT SIPHON?
Check main reason(s):		 Brand Reputation
Service Reputation
Friend Recommended
Installer Recommended
My Own Research		 Price
Warranty
Corrosion Resistance
Efficiency
Quality
OTHER REASON:
 
     
     
OLD Heater Information
If replacing OLD Heater, Please check reason(s) for replacement:
 Heater Failure
Cabinet Rusted Out
Bad Heat Exchanger
Heater Age
 Efficiency/ Operating Cost
Low Heat Output
Poor Performance
Reliability
OTHER REASON:
 
       
OLD Heater Type:
    
OLD Heater Brand:
  
OLD Heater Model:
 Other Brand:
System Information
*   Type of System: Pool Spa
Pool /Spa 		Residential
Commercial 		Outdoor
Indoor
       
* Type of Pool/Spa:
Please Select
All that Apply
 Vinyl Liner
Concrete
Fiberglass
 Inground
Above-ground
 Domed
Screened
   
Pool Surface Area:
 Spa Surface Area: Use Pool Units
Pool Volume:
 Spa Volume: UsePool Units
Pool/ Spa Age:
      
Pool/ Spa Cost:
    
How Did You FIRST Hear About Heat Siphon?
Heat Siphon Owner
Pool Builder
Pool Serviceman
Pool Supply Co.
 A/C Contractor
Solar Contractor
Friend
Phone Book		 Internet
TV
Magazine
Radio		 Mailer
Newspaper
E-mail
Other
If Other , Please Specify:
INSTALLER:

* Installied By:

Installer Type:

Address:

City:

State:

Province:

Country:

Postal Code:

Phone:

FAX:

Rate Your Installer

Please tell us how you rate your installer from lowest 1 to 5 highest rating on the following four major areas:

Product Knowledge:

1 2 3 4 5

Quality of the Job:

1 2 3 4 5

Cost of Installation:

1 2 3 4 5

Overall Satisfaction:

1 2 3 4 5