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ADVANCE PLUS 90 Protection
®
Warranty Registration Form
WR No. _____________________
Name of Installation (User) ______________________________________________________________________________
Street Address _______________________________________________________________________________________
City ____________________________ State (Province/Region) ________________ Zip___________ Country ___________
Contact Person _____________________________________________ Title ______________________________________
Phone ______________________ Fax _______________________ e-mail _______________________________________
Name of Labor Provider ________________________________________________________________________________
Contact Person _____________________________________________ Title ______________________________________
Phone _______________________ Fax _______________________ e-mail _____________________________________
Type of Labor ❏ Energy Service Company ❏ Electrical Contractor ❏ Lighting Maintenance Service
❏ Other __________________________________
Installation Information
Approx. No. of Lamps _____________________________ Approx. No. of Ballasts _______________________________
Start-Up Date (MM/DD/YY) __________________________ End Date (MM/DD/YY) _______________________________
Lamp Brand Lamp Types Ballast Types Ballast SKUs
❏ GE ❏ F32T8 ❏ Fluorescent Ballasts - Electronic ___________
❏ Osram/Sylvania ❏ F96T8 ❏ Flourescent Ballasts - Magnetic ___________
❏ Philips ❏ Compact Fluorescent ❏ HID Ballasts - Electronic ___________
❏ Venture ❏ T5/HO ❏ HID Ballasts - Magnetic ___________
❏ Other _____________________ ❏ Pulse Start Metal Halide ❏ Other _____________________ ___________
❏ Ceramic Metal Halide
❏ Other _____________________
Industry Segment
❏ Commercial/Office Bldg. ❏ Retail Store ❏ Hospital ❏ Other _______________
❏ Industrial/Warehouse ❏ Government ❏ School/University
Name of Advance Distributor____________________________________________________________________________
City ____________________________ State (Province/Region) ________________ Zip__________ Country ___________
Contact Person _____________________________________________ Title ______________________________________
Phone ______________________ Fax _______________________ e-mail _______________________________________
Distributor Signature _________________________________________________ Date______________________________
Advance Sales Representative ___________________________________________________________________________
-IMPORTANT-
To apply for PLUS 90 Protection, complete and fax or mail this form within 30 days from date of installation start-up.
Retain a photocopy for your records. Send to: Advance
c/o Warranty Service Team
10275 W. Higgins Rd.
Rosemont, IL 60018
or Fax to: 847-768-7768
Once received and acknowledged, Advance will assign a Warranty Replacement (WR) number to the form and will return an Acceptance Copy to you.
When filing a claim, call Advance’s Warranty Service Team toll-free at 1-800-372-3331 and reference the WR number as indicated.
Register online at www.advancetransformer.com/plus90
Advance use only