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18
Complete this section and keep for your own record.
ApplianceType.......................................................................
Model No...............................................................................
Serial No.........................................................................
Purchased From............................................................
Date of purchase..........I..........I.........
Please complete the section below and return to:
Glem Gas Australasia Pty Ltd, P.O. Box 63 Blaxcell PO, South Granville
NSW, 2142 Or fax: 02 9721 2766
Appliance Type.........................................Model No..............................
Serial No.......................................................................
Purchased from................................................................
Date of purchase...............................................................
Customer name....................................................................
Address......................................................................Post Code ...............
Installers signature…………………………..……..…….......................
Installer License……………………………..……..……..........................
Installers compliance number……………………………………………..