Extended Warranty Registration by Water, Inc.

1-800-322-WATER (9283)

Only available regionally - request details

Body Glove Extended Warranty Registration

** Everpure is a registered trademark of Everpure, LLC. Water, Inc. is no longer an Everpure Master Distributor nor affiliated with Everpure, LLC.

Extended Warranty Registration

Please fill out the following form and click on the submit button at the bottom of this form. (* indicates a required field.)

Please check which product(s) or model(s) has/have been installed: *

(You can select multiple products. For each product, once checked, a field for the purchase date will appear.)

Body Glove BG-1000 / BG-1000C

Purchase date:

Body Glove BG-3000 / BG-1000C

Purchase date::

Body Glove BG-3000R

Purchase date:

Body Glove BG-12000 / BG-12000C

Purchase date:

Body Glove BG-6000FF

Purchase date:

Body Glove PURE

Purchase date::

Body Glove Countertop

Purchase date:

HousePure^® Dishwasher Filter

Purchase date:

HousePure^® Soft

Purchase date:

Evercold 400S

Purchase date:

Everpure** H-54

Purchase date:

Everpure** H-104

Purchase date:

Everpure** H-300

Purchase date:

Everpure** H-1200

Purchase date::

Everpure** PBS-400

Purchase date:

Everpure** SPA-400

Purchase date:

HousePure^® Secure

Purchase date:

HousePure^® Whole House Filter

Purchase date:

HousePure^®ScaleStop	Purchase date:
Accessory Cold only Faucet:	Purchase date:
Everhot Faucet:	Purchase date:
Other Product:	Purchase date:
Other Product 2:	Purchase date:

Buyer's Information:

E-mail: *
First Name: *
Last Name: *
Address: *
City: *
Zip/Postal code: *	*
Phone:	Country:

Dealer's Information:

Dealer's Name: *
Address:
City: *
Zip/Postal code: *	*

Comments: *

Security Code: *

CARSON, CALIFORNIA

TEL: 1-800-322-9283 FAX: (310) 885-4385

MEMBER NAVINET, LLC. NATIONAL DISTRIBUTION NETWORK