Wells GK48 Owner's Manual page 58

Equipment List
Manufacturer and Model Number
(Please Attach All Spec Sheets)
Signature Disclaimer
➢ I understand that the Wells Ventless system is designed based on the information supplied above, changes
made can affect its performance and may affect the Ventless system warranty.
➢ I understand that incomplete or missing information on the equipment to be used under the Ventless system will
affect the equipment approval process and will delay this order. No production date will be scheduled until
complete information is received.
➢ I understand that any equipment changes made after this process may affect the Wells Ventless equipment
including its performance or overall warranty of the of the Ventless system
➢ I understand that a Wells Representative must perform a start-up/training course before warranty will begin.
Name (Please Print)
Date
Wells Approval Signature (Wells Authorized Representative)
Name (Please Print)
Date
265 Hobson Street Smithville, TN 37166

(800) 264-7827 orders@wells-mfg.com

Signature
Signature
Wells Hood
(1-3 from Wells Project Contact
Model # list)
2M-303912 REV E (07-2019)
Initial