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Warranty Form
Model No: *
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Jumbo AP802 20 Inch
Jumbo AP801 10 Inch
AP12T – 19 ½ + 20 INCH (Transparent model)
AP12S – 19 ½ + 20 INCH (Opaque model)
AP11T – 9 ¾ + 10 INCH (Transparent model)
AP11S – 9 ¾ + 10 INCH (Opaque model)
Benchtop APBT301C
AP212
3M Water Full-Flo-Cyst
AP Easy Full-Flo-CS
Deluxe AP8000-5
AP Easy CS-S
AP Easy LC
AP Easy Complete
Tri-Flo
AP902
AP903
Dedicated-Flo C-Nano
Dedicated-Flo Complete/Multi-brand Conversion kit
Full-Flo Cyst
Full-Flo CS
Other Model:
If your model is not in the drop down list you must enter it here.
Filter Model: *
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Carbon Block AP8112
Carbon Block – AP187
Carbon Block – AP815
Carbon Block – AP815-2
Carbon Block – AP817
Carbon – AP817-2
Enhanced Carbon Block – AP C-Complete
Enhanced Carbon Block – AP C-CS
Enhanced Carbon Block – AP C-CS-FF
Enhanced Carbon Block – AP C-Cyst-FF
Enhanced Carbon Block – C-Complete
Enhanced Carbon Block – C-CS-FF
Enhanced Carbon Block – C-Cyst-FF
Enhanced Carbon Block- AP C-LC
Granular Activated Carbon and Rigid Bonded Depth Filter – AP117
Nano AP2-40559
Pleated non-woven membrane - AP902R
Pleated non-woven membrane - AP910R
Pleated non-woven membrane and enhanced carbon block - AP917R
Pleated – PP05-2-S/PP20-2-S/PP50-2-S
Pleated – PP05-BB-2/PP20-BB-2/PP50-BB-2
Pleated – PP05-BB/PP20-BB/PP50-BB-S
Pleated – PP05-S/PP20-S/PP50-S
Rigid Bonded – AP110-2
Rigid Bonded – AP110-2/AP124-2
Rigid Bonded – AP110/AP124
Rigid Bonded – AP810
Rigid Bonded – AP810-2
String Wound - AP814
String Wound - AP814-2
String Wound – CG100
String Wound – CG100-2
Filter Reminder - Would you like a reminder to replace your filter?
Email:
yes
no
Mail:
yes
no
Name: *
Email: *
Address: *
Suburb: *
City: *
Phone:
Product Installation Date: *
Dealer's Name:
Dealer's Address:
Dealer's Suburb:
Dealer's City:
Installed:
By self:
By other:
If by other please state company name:
In order to provide better products and service, we would appreciate you taking a few moments to provide some feedback by answering the questions below.
1. Gender of purchaser
Male
Female
2. Age of purchaser
Under 20
20 - 29
30 - 39
40 - 49
over 50
3. How or where did you make the filter purchase?
via plumber
visit to a plumbing supply store
visit to a hardware store
other
4. How long did the decision to purchase a water filter take?
planned for
months (please enter number of months in box)
purchased shortly after decision was made
impulse purchase while shopping
5. What were your reasons for purchasing a water filter?
friends had one
dirt / rust / sediment problem
chlorine / taste / odour problem
giardia or cryptosporidium cyst concerns
general concern about mains water quality
6. If you purchased a water filter requiring installation, who has / will install the water filter?
yourself
friend or relative
plumber under $80 cost
plumber $80 - $150
Plumber over $150
Any comments regarding installation?
7. do you wish to receive product information & updates?
yes
no
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