TOSOT Unit or Parts Warranty Application Form Company Information Company Name Company Email Company Phone Postal Street address Equipment Owner Information First Name Last Name Phone Number Email Street address Country Province City Postal Equipment Information Coil Model Number Coil Serial Number Model Number（out door) Model Serial Number Furnace Model Number Furnace Serial Number Installation Date Inspection Date Parts and Component Replacement Only Failed Part Replaced Part Replace Date Picture of Drain Pan Picture of Furnace I acknowledge and consent to Hvac X supply receiving, processing and sharing my personal information, including the information above, for the purpose of administering and/or providing warranty or service coverage on the equipment I am registering in accordance