Extended Warranty Registration Form

This form is for *extended labor warranties*, not the Carrier/Bryant/Payne 10 year extended parts warranty. If you are registering equipment for the extended parts warranty, please use the following link: http://www.lohmiller.com/warrantycenter/product-registration.html
Extended Warranty Registration Form Allow 2 - 4 Weeks for processing
Company Name*		Account Number
Contact Name *		Email Address *
Warranty Sell Date*
PO Number
Owner Registration
Name*		Phone Number
Address*		City, St, Zip*
Equipment Address if Different than above
Equipment Address
Carrier Bryant Payne
Start Up Date*
	Model Number	Serial Number
AC/HP
Evap/Fan Coil
Furnace
Tstat/Control
Air Cleaner
Humidifier
UV Light
Other
Warranty Program