Hurricane enclosure registration form – Tempest Hurricane User Manual

Page 34

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Hurricane Enclosure User Manual

page 34

Hurricane Enclosure Registration Form

Detach and mail/fax to:

Tempest Lighting, Inc., 13110 Saticoy St., N Hollywood, CA 91605

Fax # +1 818 982 5510

If a Tempest Representative has not inspected the installation, please send photos showing

installation.

Model Number: .........................................................................................................................

Serial Number: ..........................................................................................................................

Latch Key Number: ....................................................................................................................

Dealer/Sold By

Name: .......................................................................................................................................

Location: ...................................................................................................................................

Date Purchased: .............................................

Contractor/Installed By

Name: .......................................................................................................................................

Date Installed: ................................................

Location Installed: .....................................................................................................................

Company/Organization

Name: .......................................................................................................................................

Street Address:

..................................................................................................................................................

City, State, ZIP, Country:

..................................................................................................................................................

Phone: .......................................................................................................................................

Fax: ...........................................................................................................................................

Contact Information

Name: ........................................................................................................................................

Phone: ....................................................................................... Extension: ..............................

Fax: ............................................................................................................................................

E-mail: ........................................................................................................................................

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