Eemax Acknowledgement for "Three Phase" Models
Please Print, Sign, Date, and Fax to:
Toll Free 866-744-0521
| 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
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.