Advance plus 90 protection, Warranty registration form – Advance Protection PLUS 90 User Manual

Page 5

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ADVANCE PLUS 90 Protection

®

Warranty Registration Form

WR No. _____________________

Name of Installation (User) ______________________________________________________________________________

Street Address _______________________________________________________________________________________

City ____________________________ State (Province/Region) ________________ Zip___________ Country ___________

Contact Person _____________________________________________ Title ______________________________________

Phone ______________________ Fax _______________________ e-mail _______________________________________

Name of Labor Provider ________________________________________________________________________________

Contact Person _____________________________________________ Title ______________________________________

Phone _______________________ Fax _______________________ e-mail _____________________________________

Type of Labor

Energy Service Company

Electrical Contractor

Lighting Maintenance Service

Other __________________________________

Installation Information

Approx. No. of Lamps _____________________________ Approx. No. of Ballasts _______________________________

Start-Up Date (MM/DD/YY) __________________________ End Date (MM/DD/YY) _______________________________

Lamp Brand

Lamp Types

Ballast Types

Ballast SKUs

GE

F32T8

Fluorescent Ballasts - Electronic

___________

Osram/Sylvania

F96T8

Flourescent Ballasts - Magnetic ___________

Philips

Compact Fluorescent

HID Ballasts - Electronic ___________

Venture

T5/HO

HID Ballasts - Magnetic ___________

Other _____________________

Pulse Start Metal Halide

Other _____________________ ___________

Ceramic Metal Halide

Other _____________________

Industry Segment

Commercial/Office Bldg.

Retail Store

Hospital

Other _______________

Industrial/Warehouse

Government

School/University

Name of Advance Distributor____________________________________________________________________________

City ____________________________ State (Province/Region) ________________ Zip__________ Country ___________

Contact Person _____________________________________________ Title ______________________________________

Phone ______________________ Fax _______________________ e-mail _______________________________________

Distributor Signature _________________________________________________ Date______________________________

Advance Sales Representative ___________________________________________________________________________

-IMPORTANT-

To apply for PLUS 90 Protection, complete and fax or mail this form within 30 days from date of installation start-up.
Retain a photocopy for your records.

Send to:

Advance

c/o Warranty Service Team

10275 W. Higgins Rd.

Rosemont, IL 60018

or Fax to: 847-768-7768

Once received and acknowledged, Advance will assign a Warranty Replacement (WR) number to the form and will return an Acceptance Copy to you.

When filing a claim, call Advance’s Warranty Service Team toll-free at 1-800-372-3331 and reference the WR number as indicated.

Register online at www.advancetransformer.com/plus90

Advance use only

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