Reliance Water Heaters Product Registration

First name *

Last name *

Street address *

Address line 2

City *

State *

Zip code *

Phone number (preferred) *

Phone number (other)

Email address *

Model number *

Serial number (1234a567890) or (12341234A567890) * 🛈

Water Heater ID number

Did you pay a professional to have this installed? *

Yes

No

Date of installation * +

Is the water heater installed in a single family home? *

Yes

No

How likely are you to recommend us to a friend? * 🛈