The Leading Online Plumbing Supplier Since 1995
Eemax Acknowledgment for "Three Phase" Models
Please print out this page and fill in the necessary heater information (model, kw, volts, amps)
Then sign, date, and fax to: 866-744-0521 (toll free)
| Please note that these units are custom made to order. This order is NON-CANCELLABLE and the item(s) are NON-REFUNDABLE, NON-RETURNABLE. By signing and dating below, you agree and accept these terms and conditions. |
MODEL:_________________ KW:____ VOLTS:____ AMPS PER PHASE:____
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UNDER NO CIRCUMSTANCES CAN THESE ELECTRICAL CONFIGURATIONS BE REVERSED
| Print Your Name:_______________________________Order # (if applicable)_______________________ |
| Signed and Accepted by:______________________________________Date:______________________ |
| Email Address:______________________________________________Phone:_____________________ |
Note: If you're ordering a Series 6 or Series 12 tankless water heater,
you'll also need to print and fill out this form.
If you are going to mail this page (instead of faxing), please mail it to:
Mailing Address:
PlumbingSupply Group, LLC
Atten: 'your order number'
994 East 20th Street
Chico, CA 95928
"When do I fill out this form and why?"
If you are ordering a 3-phase Eemax heater,
you will need to print and fill out this form, and then fax or mail it to us. Eemax manufactures the 3-phase units
to order, so these heaters are not returnable. The manufacturer requires us
to include this form with our shipment request. This provides them with verification
("proof") on-file that they manufactured and shipped the correct heater.