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

You will notice certain fields are marked with an these fields are required.
Installation address
Title	Address
First name	Address 2
Last name	Town / City
Phone number	County
Email	Post code
Product information
Model name Select a model 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	Address
First name	Address 2
Last name	Town / City
Phone number	County
E-mail	Post code
Installer details
Company Name	Registered gas engineer No.
First name
Last name
Phone number
Email

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