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Homeowner contact information
Full name
*
First name
Last name
Email
*
example@example.com
Phone number
*
Address
*
Street
Street number
City
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Wisconsin
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State
ZIP code
Project information
Supplier name
*
Order Number
This number is written on the packing slip.
Installer name
Installer phone number
Product information
Please enter the heater(s) resistance values
*
Heater Model
Room Name
Core to Core
Core to Ground
Heater 1
Heater 2
Heater 3
Heater 4
Heater 5
Heater 6
Heater 7
Heater 8
Heater 9
Heater 10
Please enter the thermostat model(s)
*
Thermostat Model
Room Name
Thermostat 1
Thermostat 2
Thermostat 3
Thermostat 4
Thermostat 5
Thermostat 6
Thermostat 7
Thermostat 8
Thermostat 9
Thermostat 10
For information related to resistance measurements or other technical information about the floor heating system, please upload here.
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