Model #

Product Date Code/ Serial Number
THE DATE CODE / SERIAL NUMBER WILL BE LOCATED ON THE ELECTRICAL RATING STICKER LOCATED ON THE BOTTOM OR BACK SIDE OF THE APPLIANCE.
UPC #
THE UPC WILL BE FOUND ON THE BAR CODE LOCATED ON THE BOTTOM OF THE BOX.
Date of Purchase
pick date
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*Last Name

*Phone Number

Address

City

State

Zip

*Email