Customer Name
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Phone Number
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Email
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Product Description, Model & S/N (found on package, product label or back of tanks)
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When purchased / installed?
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Where purchased?
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Description of what is or what is not happening
If Digital Instant Hot Water Dispenser HT4105 - What color is the unit?
Light Grey
Matte-Black
Are you using with a filtration system?
No
Yes
What brand of filtration system are you using and when was the filter cartridge changed last?
If 4N1 Aqua-System Digital Instant Hot Water Dispenser - What brand of filtration system are you using and when was the filter cartridge changed last?
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