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The following form should be completed by the installer for you to keep as a record of the installa-
tion 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:
Installation Address:
Date of Installation:
Installer's Code/Name:
Product Serial Number(s):
Combustion Setting at Time of Installation:
Comments:
Installer's Phone Number:
Signed by Installer
Signed by Customer:
IMPORTANT NOTES:
Customer: Please only sign after the installer has reviewed the installation, safety, proper operation
and maintenance of the system. In the case that the system has any problems, please call the installer.
If you are unable to make contact, please contact your American Standard Sales Representative.
Distributor/Dealer: Please insert contact details.
AMERICAN STANDARD WATER HEATERS
CUSTOMER INSTALLATION RECORD FORM
71
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