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Sales Team & Manufacturer Reps
Warranty Replacement Request
For any HX/Boiler replacement, Photographic Evidence would be required.
Please note: This request is for warranty replacement shipment, NOT for credit.
Sales Reps First name
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Sales Reps Last name
*
Sales Reps Email
*
Is this request a Part, HX or Full Boiler Replacement?
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Please Select
Part(s)
Heat Exchanger
Full Boiler Replacement
Product Information
Case Number
Project Numbers
Please Select
Heat Exchanger B2HB/B2TB (19, 26 and 35)
Heat Exchanger B2HB 160/199
B1HA/KA - HX - Melted Mid -Refractory Ring
B2HA 399/530 - supply pipe flue gasket leak
VD 200 B2HA 399/530 - EE/EB Fault
CI2 BCU issue
BxxE 150/199 - Flue gas coll/gasket
CI2 A.18 / A.48 faults (baffle plate)
B2HA/B2HB Purple O-Ring
B1HA/KA - HX - Rear Wall Corrosion
BxxE 80/120 F.380 faults
Vitodens 100W (85-120) - Hole in Front Plate
Original Product Serial Number
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Installation Date
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Month
/
Day
/
Year
Part #
*
Quantity
*
Reason for Warranty Part Request
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Full description of Issue(s)
Contractor/Wholesaler Information
Shipping To
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Contractor
Wholesaler
Shipping Method
*
Please Select
UPS NDA (Urgent)
Standard UPS Ground
Name of Rep / Wholesaler/ Contractor
*
Mailing and Shipping Address
*
Rep/Wholesaler/Contractor FULL address
Other Shipping Method or Instruction
if shipping address is different
Would you like the wholesaler/contractor to receive notification of this request?
*
Please Select
Yes
No
Contractor/Wholesaler Email
If you have additional Files, please upload
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