To activate this warranty, you must submit a completed warranty registration form to MaxLite within thirty (30) days after your purchase of the Product. Upon our receipt of a timely submitted and completed warranty registration form, MaxLite will send you a confirmation of its receipt and a reference number that you must use for future correspondence with MaxLite related to that Product.


By clicking on the box, you're indicating that you have read and agree to the complete terms and conditions of the MaxLite 10-Year Warranty contained below.

Customer Data


Installation Date:
Registration Date:
Installation Name: Contact:
Address:
City: State: Zip:
Tele: Email:
Fax:


Installer Name: Contact:
Address:
City: State: Zip:
Tele: Email:


Distributor Name: Contact:
Address:
City: State: Zip:
Tele: Email:

Product Installation Data


Item No:
Item Main Category:
Sub Category:
Description:
Invoice No:
Order No:
Quantity Installed:
Annual Burn Hour:
Ambient Operating Temp(-F):
Complete Product Part Number Quantity Installed Annual Burn Hours Temperature(F) Invoice # Order #
Application Type: (i.e. office building, factory, warehouse)
Building automation or any type of controls operating fixture?
If yes Make and Model => Make: Model:
Description of how this device controls lighting fixtures:
Are these lights connected and powered by any Emergency generator in the event of loss of power?
If yes list Make and Model => Make: Model: