Control Board Model Verification Form

2001 Market Street #2534, Philadelphia, PA, 19103 US

+1 600 123456

[email protected]

Name of Receiver *

Point of Contact (Email) *

Accept to receive marketing news by email.

Model *

(Examples: H18E2, H12FB1, H12HP2A)

BATCH NO. *

(Pictured below. Examples: K-D75D, K-A9DM, K-8189)

MFG DATE *

Please enter the MFG Number. If already submitted, please enter "N/A

Upload Images of Batch Number [Outdoor Unit]

Upload a picture of your batch number. (Optional)

Please upload a file before submitting.

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