Warranty Registration Form

To ensure your warranty protection, please fill in the Warranty Registration Form and mail or e-mail it to:

Heat Pipe Technology, Inc.
6904 Parke East Blvd.
Tampa, FL 33610
Phone: (813) 470-4250

Customer Name:

Customer Address:

Phone: (        )         -                                     Fax: (          )            -

Please check one:         Owner                        Dealer

Serial No:                                                      Model No:

Type of Product:

Date of Installation:                                       Dealer/Installer:

Name & Address of Dealer/Company You Purchased from



Customer Signature: