Customer Installation Record Form - Westinghouse WGR050NG076 Installation, Start-Up, Maintenance, Parts, Warranty

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The following form should be completed by the qualified installer / service technician for you to keep as a record of the installation in
case of a warranty claim. After reading the important notes at the bottom of the page, please also sign this document.
Customer's Name
Date of Installation
Installation Address
Product Name / Serial Number(s)
Comments
Installer's Code / Name
Installers Phone Number
Signed by Installer
Signed by Customer
Installation Notes
IMPORTANT
Customer: Please only sign after the qualified installer / service technician has fully reviewed the installation, safety, proper operation, and
maintenance of the system. If the system has any problems please call the qualified installer / service technician. If you are unable to make
contact, please call your sales representative.
Distributor / Dealer: Please insert contact details.
WHL-001 Rev. 001 Rel. 008 Date 8.23.18

Customer Installation Record Form