Shield - Commercial Water Heater

Complete the form below to receive your $50 rebate. (You will receive a confirmation via email.)
If you are unable to upload an electronic file of your proof of purchase, please click here to download the form. Please complete the form and mail it (along with your proof of purchase) to: Lochinvar, LLC, Shield Promotion Administrator, 300 Maddox Simpson Pkwy., Lebanon, TN 37090.


Model # *:	Serial # *:
----------Installation Information----------
Address*:
City*:	State/Province*:
Country*:	Zip/Postal*:
----------Contractor Information----------
First Name*:	Last Name*:
Company*:
Address*:
City*:	State/Province*:
Country*:	Zip/Postal*:
Email*:	Website:
Phone*:	Fax:
Wholesaler:	Wholesaler Branch:
Proof of Purchase*:
*Required fields