Phone: 407.324.7800 Fax: 407.324.1104  Email: offices@isisales.com

Backflow Repair and Re-Certification Registration Form

Backflow Repair and Re-Certification Registration Form

If you are planning to send in your kit please fill out and submit the following form.


This will pre-register your kit so we will know it is on the way. If you have sent your kit in before you can fill out the short form if your contact information has not changed. When we receive your kit we will recertify and or calibrate it unless it requires repairs. If repairs are required we will call you with an estimate of the charges and or get a warranty from Mid-West to cover the charges if the unit is under warranty. Arrangement for payment can be made at a later time when the unit is done. [back to Backflow]
*Company 
*Name 
*Phone 
*Email 
*Address 1 
Address 2 
*City 
*State 
*Zip Code 
*Unit Model: 
Serial No. 
Comments or known issues with this unit: 
* Required Field

Headquarters

Instrument Specialties Inc.
3885 St. Johns Parkway
Sanford, FL 32771

Contact Information

Phone: 407.324.7800
Fax: 407.324.1104
Email: offices@isisales.com

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