Step 1 of 6 16% Email Serial Number* PRODUCT LITERATURE: On the top right corner of the warranty card provided with your owners manual. ON THE CLEANER: search near where the filter bag or cartridge insert would be. It will be placed on the inside. ** Serial Number is NOT located on the power supply. Name of Store or DealerDealer Location City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Owner Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Phone Where Do You Primarily Purchase Your Pool Supplies and Equipment From?Out of a CatalogRetail Pool DealerAt a Wholesale ClubThrough My Pool ServiceOff the InternetHow many a days a week do you anticipate to use your robotic pool cleaner? Everyday Once a week 2 to 3 times a week Once a month 2 to 3 times a month Less than once a month What Surface Type Does Your Pool Have?Gunite Concrete Vinyl PebbledVinylConcreteGunitePebbledTilePlasterFiberglassSteelWhat Shape Is Your Pool? Rectangle Kidney Freeform Oval Round Lazy-L L-Shape How many months a year do you keep your pool open?Less than 3 Months3 - 4 Months5 - 8 Months9 - 12 Months Model UnitAQUA CLEANAQUA CLEAN EZAQUA CLEAN PLUSAQUA CLEAN TURBOAQUA FIRST PREMIUMAQUA FIRST SUPER ROVERAQUA FIRST TURBOAQUA FIRST TURBO JETAQUA FIRST TURBO RCAQUA GUARD LX3AQUA GUARD LX5AQUABOT TEMPOAQUABOT BRAVOAQUABOT CLASSICAQUABOT CLASSIC PLATINUMAQUABOT CLASSIC PLATINUM RCAQUABOT EAGLEAQUABOT EXTREMEAQUABOT EXTREME CLEANAQUABOT FURYAQUABOT ICONAQUABOT ICON XIAQUABOT INDUSTRIAL 4WDAQUABOT INDUSTRIAL Z1AQUABOT JRAQUABOT JR S2 50AQUABOT JR Z, USAQUABOT JR. INDUSTRIAL ZAQUABOT JR. NXTAQUABOT JUNIORAQUABOT OPTIMAAQUABOT OPTIMA JR.AQUABOT OPTIMA RCAQUABOT PRIMEAQUABOT PRO IGAQUABOT PURA 4XAQUABOT PURA 5XAQUABOT RAPIDS 1500AQUABOT RAPIDS 2000AQUABOT RAPIDS 4WDAQUABOT RAPIDS XLSAQUABOT SUPREMEAQUABOT TEMPOAQUABOT TURBOAQUABOT TURBO ELITEAQUABOT TURBO INDUSTRIAL Z1AQUABOT TURBO INDUSTRIAL Z2AQUABOT TURBO INDUSTRIAL Z3AQUABOT TURBO TAQUABOT TURBO T JETAQUABOT TURBO T2AQUABOT TURBO T4 RCAQUABOT TURBO T-JETAQUABOT TURBO Z2 INDUSTRIALAQUABOT X4AQUABOT XLAQUABOT XTREMEAQUABOT Z2BEARBOT TURBO TBLUE DIAMONDBLUE DIAMOND RCBLUE PEARLBLUE SAPPHIRE ROBOTBRAVOBRAVO POOL CLEANERBREEZE 4WDBREEZE XLSBREEZE XLS WITH SCRUBBERSCOBIA XLCOMPACT ROBOTCYCLONECYCLONE SCRUBBERDIRT DEVIL GL 1000DOHENY AWDDOHENY JET DRIVE AGDOHENY JET DRIVE IGDOHENY XLSDOHENY XLS W/ BRUSHE JETEAGLEECOJET PLUSECOJET TURBOELIMINATORELITE RCFURYFURY POOL CLEANERG-JETG-JET G2HARMONY ROBOTIC CLEANER, SXI2ICONICON XIINDUSTRIAL 4WDINDUSTRIAL JR. ZINDUSTRIAL Z1INDUSTRIAL Z2I-POOL USA- AQUA SOLOJET STREAMKAYAK CLEVER RKC100JMAX 1MAXI JETMILLENNIUM AGMILLENNIUM SEMILLENNIUM XEMIRAGEMIRRA 530MRTMRT 2MRT 5000+MRT AG 1000MRT IG 2500MRT IG 3500MRT IG 5000OPTIMAOPTIMA RCPIRANHA SELECTPIRANHA TURBOPIRANHA ULTRAPOOL BLASTER 1000POOL BLASTER 2000POOL BLASTER 3000POOL BLASTER 4000POOL CLEANER JETPOOL JETPOOL ROVER HYBRIDPOOL ROVER S2 40POOL ROVER S2 40IPOOL ROVER S2 45POOL ROVER S2 50POOL ROVER TPRIME S300PRIME S600PROLINE BOTPROWLER 720PURA 2S 4XPURA 4XPURA 5XPURA S2 4XPURA S2 4XIPURA S2 5XBRACER JETRAPIDS 4WDRAPIDS 1500RAPIDS 2000RAPIDS XLS WITH SCRUBBERSREACTIONROBO WORKSROBOT AVENGER 2009ROBOT AVENGER PRO RC 2009ROBOT CLEAN 1ROBOT POOL BLASTER 5000ROBOT POOL BLASTER 6000 USA CLIMBINGROBOT POOL BLASTER 7000ROBOT POOL BLASTER 9000S-CLASS AQUABOT SUPREMESUPREMESWIM BOT HD, US, BOT, 115VAC/24, IG, ITSSWIM BOT PRO HD RCSWIM JET AGSWIM JET HDSWIM JET PRO HDTORNADICTURBO T WITH RC & CADDIETURBO T2 WITH CADDIETURBO T4RC WITH CADDIETURBO T-JETVERRO 500VISIONVIVAX4X6XTREMEXTREME IXTREME IIXTREME IIIZ1 INDUSTRIALZ2 TURBO INDUSTRIALJetMAX JuniorJetMAX TurboDuraMAX Jr TRCDuraMAX RCDuraMAX Bi-TurboDuraMAX DuoDuraMAX Duo JAquaMAXAquaMAX X1AquaMAX X2AquaMAX X3UltraMAXUltraMAX XLPurchase Date Purchase PriceBefore taxPlease Upload Proof of Purchase Drop files here or If offered, would you be interested in purchasing additional warranty coverage?*YesNoCaptchaNameThis field is for validation purposes and should be left unchanged.
