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-----------------Cut and Return This Form or register online at www.boyertownfurnace.com-----------------
Warranty Registration
Boyertown Furnace Co.
P.O. Box 100
Boyertown, PA 19512
Date Installed: ___________________________
Boiler Model No._________________________ Serial Number: ________________________
Name of Purchaser: _________________________________________________________________________
Purchaser’s Address: ________________________________________________________________________
________________________________________________________________________
Dealer’s Name: _____________________________________________________________________________
Dealer’s Address: ___________________________________________________________________________
___________________________________________________________________________