9
Sealoc Product Registration Form
All information listed below is required.
Customer Contact Information
First and Last Name:
Email Address:
Phone Number:
Full address of purchaser:
Address location of installation:
Dealer Information (If Applicable)
Company name of dealer purchased through:
Phone number of dealer purchased through:
Product Information
Product Series (Coastal, Lanai, ProLoc, etc.):
Product Brand (Samsung, LG, etc.):
Sealoc Serial # (e.g. SEA-1234)
Purchase Information
Purchase Date (MM/DD/YYYY):
Product install date:
Installation Certification:
By signature below,
I certify that my TV was installed using a GFCI outlet with ground, my TV is
also plugged into an outdoor rated surge protector (not a power strip), and is not plugged into a power source within ten (10) feet
of any water source or operating within the same distance.
Signature: _________________________________________________
Date: ______________________
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Please mail warranty registration information to:
Sealoc, Inc.
C/O Warranty Department
192 Industrial Blvd, Suite 112
McKinney, TX 75060
