ANNEX 3 |
NOTICE OF CHANGE OF PROPERTY OWNERSHIP
Have you recently sold a property serviced by a Premier Tech wastewater treatment system? Please complete the information
below to the best of your knowledge to ensure a quick and accurate update of the customer file.
Name
You are the
Site address serviced by a Premier Tech system
Civic number
Name of
the new owner
Postal address (if different than the site where the system is installed)
Civic number
Preferred language
of correspondence
Phone
I hereby declare that the residence serviced by a Premier Tech treatment system located at the above address changed ownership
on this date:
Date
If you are the PREVIOUS owner:
I have provided the system's owner's manual and the included warranty certificate to the new owners. I have informed them that
an annual maintenance is required on the system as per local regulation and to maintain the validity of the product's warranties.
Signature
If you are the NEW owner:
I hereby declare that I have received and read the owner's manual and warranty certificate and agree to abide by their terms and
conditions.
I understand that an annual maintenance is required for all treatment systems as per local regulation and that I must renew my
annual maintenance contract with the manufacturer every year (at the latest on December 31st of every year) to benefit from the
protections of the product's warranty and ensure compliance of my system.
Signature
20230711 — Item #339919
THIS FORM MUST BE RETURNED TO PREMIER TECH
1, avenue Premier, Rivière-du-Loup (Quebec) G5R 6C1
or
maintenance.ptwe.na@premiertech.com
Previous owner
Premier Tech customer number
New owner
French
English
Phone
(celluar)
Street
City
Street
City
Preferred method
of correspondence
Email
(other)
Date
Date
Province/State
Postal/Zip Code
Province/State
Postal/Zip Code
Email
Mail
15
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