Warranty Registration for Port-A-Cool

Register Your Port-A-Cool® Unit

Choose Model Number
Type Serial Number (what is this?)
Your serial number is six digits, a dash, then two more digits. This number helps us identify your product.
Your First Name
Your Last Name
Company Name
Address
City
State
Zip
Country
Telephone
email
Date Purchased

IMPORTANT: Please enter Name and Address of Distributor from whom you purchased
Distributor Name

Please check the PRIMARY USE of this product
	Industrial / Manufacturing	Sports or Athletics
	Aviation	Outdoor Events
	Automotive	Military Use
	Livestock / Pet	Other Use (explain)

Please check which one DESCRIBES YOUR PURCHASE:
	First Time Buyer	Purchased Before
	Purchased Similar Brand	Other (explain)

Please check the MOST IMPORTANT REASON YOU PURCHASED this product:
	Environmentally-Friendly	Durable, rust and leak-proof
	Economical	Referred by a friend or associate
	Ease of Operation	Other (Explain)