Complete this form to register your ConVault warranty. This card should be completely and accurately filled out and returned to ConVault within 30 days after the tank is installed, or 90 days after the tank is shipped from the manufacturer. Tank Information UL Label # (required) Date of Shipment Date of Installation Tank Size Product Stored Crude OilDiesel Fuel for heating purposes on premisesDiesel Fuel for powering motor vehiclesHeating Oil (Petroleum #1, #2, #5 heavy, or #6) Regular Unleaded GasolineKerosene for heating purposes on premisesLeaded GasolinePremium GasolineMethanol Blended GasolineAVGasJet FuelWaste OilOther - Describe below Other Tank Usage Private ResidenceGas StationJobberCar DealerHospitalMarinaUtility ServiceFarm/NurseryConvenience StoreQuick LubeGovernmentSchoolFleet OwnerAirportIndustrial SiteOther - Describe below Other Tank Owner Information Type of Business or SIC Tank is Installed at (business name) Address City State —Please choose an option—ALAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Country Contact Name Contact Email Contact Phone Installer Name Installer Phone Business Mailing Address (if different than above) City State —Please choose an option—ALAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Owner/Purchaser By submitting the form you understand that the ConVault's Limited Warranty is conditional upon installation, operation, and maintenance of the tank in accordance with the manufacture's instructions. The purchaser/owner acknowledges the manufacturer's requirements for site selection and foundation for the tank. Name (required) Email (required) Phone (required) Submission Date Warranty Validation Card
