Warranty Registration Form

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First Name *

Last Name *

Email *

Phone

Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Product *

• TCR2-30-N3-240-ST

Model # *

• 1×4483 purePower PROTECT SMUS
• 1×4501 GreenTech TRIPCON SMUS

Date of Purchase *

Serial Number *

Dealer Name *

Submit

Thank you for purchasing and registering your TRIPCON product with us. We’ll have this information if you have any issues going forward. Please contact us by email: info@greentechenv.com or call us at (423) 207-0235