Warranty Registration and Manufacturer's Rebate

Thank you for your recent purchase of AMACO/brent equipment. In order to register your equipment for warranty coverage and to receive your free glaze, please complete the information below.

Name : *

School/Institution :

Address : *

City: *

State: *

Zip/Postal Code: *

Phone: *

Email ID: *

Purchase Date (mm-dd-yyyy) or (mm / dd / yyyy) : *

What product did you purchase : *

Model : *

Serial Number: *

Preferred Method of contact:

Phone E-Mail Mail

Where did you purchase the product : *

How did you find us:
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Are you interested in other AMACO/brent Products :
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Profession:

	Very Satisfied	Satisfied


Price/Value for the money
Product quality
Dealer knowledge/purchase experience
Delivery of the product
Condition of product at delivery
If there was a problem did the dealer resolve it to your satisfaction?
If there was a problem did AMACO resolve it to your satisfaction?
Instructions included with product
Understanding of how equipment works
Overall satisfaction with product
Overall satisfaction with AMACO/brent
Is this your first purchase of AMACO/brent equipment?	Yes	No
Would you purchase another AMACO/brent product?	Yes	No
Would you purchase from this dealer again?	Yes	No
Would you recommend AMACO/brent equipment to someone else?	Yes	No
If no, why not?


Free Glaze Value	Equipment Purchased
$275	Kiln: AH-30
$140	Kiln:AH-10,AH-25,Ex-1850SF Deluxe Institutional Ceramic Program
$110	Kiln:HF-105,FA-88SF Basic Ceramic Program
$100	Kiln: HF-101,HF-97,EC-55,FA-44SF,GSF-670,EX-257SF,EX-353SF,EX-381SF,EX-399SF,EX-365SF,EX-270SF,EX-1099SF Slab Roller: brent SR-36
$70	Kiln:EX-232SF,EX-329SF,EX-1266SF,GSF-045 Wheel: brent EX,CXC,C,B,J,EJ,No.16; AMACO #1,#2C Slab Roller: brent SRC, SR-14,SR-20
brent ie, ie-r, and ie-x wheels, brent carts, brent Mini SRC slab roller, and AMACO kilns FA-5-E and MK-4 do not qualify for Manufacturer's Glaze Rebate.

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QTY	ITEM/DESCRIPTION	UNIT PRICE	LINE TOTAL