Extended Warranty Registration

It is essential that all questions on the form are completed, in order to process your Extended Warranty claim.
Individual details:
First Name:*
Last Name:*
Address 1:*
Address 2:
Post Town / City:*
County / State:*
Post Code / Zip code:*
Country:*
Email Address:*
Re-enter Email Address:*
Age:*
Gender:*
Product purchased:*
Date of purchase:
Retailers Name: *
Purchase Price:*
Comments:

Why did you choose this product:? Ctrl key for multiple selections

Other:
What is its intended use? Ctrl key for multiple selections

Other:
If you have a pond how many litres is it? Ctrl key for multiple selections

On your pond or water feature please list if you have any of the following: Ctrl key for multiple selections

What is the hardest thing about maintaining your pond? Ctrl key for multiple selections

Other:

Would you like to receive updates and information on new products? Yes No
Would you like to receive updates by email?: Yes No

IMPORTANT

Print out the confirmation e-mail and keep it in a safe place together with your proof of purchase (sales receipt). If an extended warranty applies, it will only be valid with the printout and a copy of the proof or purchase. Both documents will be required for any claim under this extended warranty.

Postal Address: PO Box 648 Maddington WA 6989
Street Address: 33 Emerald Rd, Maddington WA 6109

Contact:
1300 552 202
Phone: +61 (08) 9452 2444
Fax: +61 (08) 9452 2433

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