New Product Warranty Registration

First Name *

Last Name *

Company Name *

Address Line 1 *

Address Line 2

City *

State *

Zip *

Country

Phone *

Fax

Email *

Model Number *

Serial Number *

Date Received *(mm/dd/yyyy)

Date Installed *(mm/dd/yyyy)

From whom did you purchase this unit: *
  Kooltronic         Other - Name:

What type of equipment will this unit be cooling?

How did you hear about Kooltronic?
  Publication:
  Trade Show:
  The Internet:
  Sales Rep:
  Distributor:
  Other:

Did you receive what you ordered along with supporting documentation?
  Yes        No
Comments:

Was delivery time adequate?
  Yes        No Comments:

Were shipping instructions followed?
  Yes        No

Was the unit packaged properly?
  Yes        No

What was the condition of the product when you received it?
  Excellent        Good        Fair        Poor

Do you expect to purchase Kooltronic products, options, accessories or services in the future?
  Yes - When?        1-6 months        6-12 months        Future:  
  No - Why?  

Which of the following types of cooling products do you use?
  Air Conditioners        Heat Exchangers        Fans/Blowers     
  Other:  

Do you purchase cooling equipment from any other company?
No
Yes - Why?      Delivery      Price      Other:  

In what ways can we improve service to you?