FloLogic Product Registration

Product:

Installation Date: (MM/DD/YY)

Purchase Date: (MM/DD/YY)

Purchased From:

First name:

Last name:

Installation Address Street:

Address Apartment/Suite:

City:

State:

Zip:

Primary Phone:

Email Address

Name of Installer:

Which of the following best describes why you installed FloLogic?

What type of property is this?

With which company is the property insured?

Has this property experienced a damaging plumbing leak?