Warranty Registration

• Thank you for your Glow-worm purchase!
• Please complete the form to register the warranty for your new boiler.

Installation address

• Title:
• First name*:
• Last name*:
• Phone number*:
• E-mail:
• Address*:
• Address 2:
• Town / City*:
• County:
• Postcode*:

Product information

• Model name*: Select a modelUltracom₂ 24, 30, 35 cxiUltracom 12hxi/15hxi/18hxi/24hxi/30hxi/38hxiUltracom₂ 24, 30, 35 sxiFlexicom 24cx/30cxFlexicom 12hx/15hx/18hx/24hx/30hxFlexicom 18sx/30sxFlexicom 35cx/35hxBetacom c 24/30Betacom 24/30Ultrapower 100sxi/170sxiCylinder 115/150/175/200/250/300Xtramax HETRANSLATION NOT DEFINED!
• All Ultracom, Flexicom and Ultrapower appliances come complete with a 2 year parts, 2 year labour warranty. The Betacom & Betacom c have a 1 year parts, 1 year labour warranty. All other appliances have a 2 years parts and 1 year labour warranty unless specified otherwise.
• Serial Number*:
• Date of purchase:

Correspondence address

• Please complete the following only if the boiler is owned by a landlord, local authority, housing association, etc.
• Title:
• First name:
• Last name:
• Phone number:
• E-mail:
• Address:
• Address 2:
• Town / City:
• County:
• Postcode:

Installer details

• Company Name:
• First name:
• Last name:
• Phone number:
• E-mail:
• Registered gas engineer No.:
• Use of information - your contact information will be stored and used by Glow-worm and associated Vaillant Group companies. We may from time to time contact you with relevant information about Glow-worm products or services by associated Vaillant Group companies. If you do not wish to receive future information about Glow-worm or associated Vaillant Group companies please tick here
• If you would like to receive electronical mail (email & SMS text) in the future regarding information about Glow-worm or associated Vaillant Group companies please tick here