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FLUSHMATE® Product Registration

Product Registration

Registration Card

Register Online Here


Complete this form to register your product.
All fields with * are required.
First Name*:
Last Name*:
Company Name (if applicable):
Email*:
Telephone*: required
Installation Address*:
City*:
State*:
Zip*:
Country:
Date Installed*: / / Format: mm/dd/yyyy
How many units installed*:
Type of installation*: Residential
Commercial:
FLUSHMATE® SERIAL NUMBER(S)*
(located on FLUSHMATE® tank. Use commas for multiple numbers):
Flushmate Label
FLUSHMATE® MODEL NUMBER
(located on FLUSHMATE® tank) :
FIXTURE NAME
(located on toilet bowl) :
Where did you purchase this toilet? Home Center
Kitchen & Bath Dealer
Plumbing Store
Other
Why did you purchase a new toilet? Renovating existing bathroom
New home
Replacing toilet only
Other
What sources did you use to select a new toilet?
(check all that apply and provide name<s>)

K & B Dealer

Home Center

Magazines

Other

This toilet was installed by:

Owner

Plumber

Name:

Phone#:

Other: