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Product Registration Form  
Please fill in all fields.

Homeowner details

Status (Please tick) Owner Tenant Housing Association
Title
Forename
Surname
House No
Street
Town
County
Postcode
Telephone Number
Email Address
Model name of appliance installed
Serial number of appliance
Your detials may be used by Johnson & Starley and companies working directly on our behalf to inform you of any new products, services or promotions offered by Johnson & Starley.
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Installer details

Date of Installation
Type (Please tick) Replacement New installation 
Company
Forename
Surname
House No
Street
Town
County
Postcode
Telephone Number
Email Address (optional)
Gas Safe No
Has Benchmark log been completed? Yes No
Was a system cleanser used? Fernox Sentinel Other 
What system inhibitor was used? Fernox Sentinel Other 
 

Contact Details


Johnson & Starley Ltd
Rhosili Road
Brackmills Ind Est
Northampton
NN4 7LZ

Telephone: 01604 707012


Registered in England.
Company registration number: 185924