Please fill out the following information to activate your Filtrator warranty. Before submitting, please print a copy of this page for your records.

Product Information

Model:
Serial #:
Date of Purchase:
Dealer Name:

Contact Information

* Name:
* Company:
* Street:
* City:
* State:
* Zip:
* Email Address:
* Phone:
Please select: Restaurant
Restaurant Chain
Institution (hopsital, school, etc)
Other
If Other: