PlumbingStore.com - Eemax Acknowledgement Series 6 and Series 12 Three Phase Tankless Water Heaters Models

Eemax Order Acknowledgement for Eemax Series 6 and series 12
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.

__________________________________________________________________________________
Job name:


__________________________________________________________________________________
Job address:


__________________________________________________________________________________
Unit ordered: Model:
Voltage:
Min. turn-on flow:
Temp. setting:
__________________________________________________________________________________
Brief description of application:


__________________________________________________________________________________
Flow range desired:

__________________________________________________________________________________
Print name:

__________________________________________________________________________________
Signature:

__________________________________________________________________________________
Title:	Date:

__________________________________________________________________________________
Eemax use only
Serial Number:	Manufactured date:

__________________________________________________________________________________

If you are going to mail this page (instead of faxing), please mail it to:

Mailing Address:
PlumbingSupply Group, LLC
Attn: 'your order number'
994 East 20th Street
Chico, CA 95928