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Retailer Registration Form

Company name:		Phone: ( ) - Second three digits Last four digits
First Name:	Last Name:	Email:
Address:
City:	Province:	Postal Code:
GST no.:	PST no.:

Sales representative name:

Liability insurance expiry date:

Amount of liability insurance:

Insurance certificate:

Retailer

Registering the warranty is the retailer’s responsibility. When applicable, payment of additional coverage shall be made within thirty (30) days and will only take effect after full payment.
The retailer must ensure all information related to the end user is accurate.
The retailer must maintain a minimum of $1M liability insurance coverage and provide evidence at each renewal.
The retailer has the right to refuse a service call.
The retailer must guarantee all work performed (installation, repair) for a period of 90 days.
The retailer must complete all required information in the installation instruction form and return it when registering the warranty.

Customer

The customer remains the retailer’s customer for service calls unless the retailer has exercised their right of refusal, or if this agreement is terminated.

Claims

The retailer agrees to check the warranty coverage before performing any work.
The retailer agrees to submit any claim within sixty (60) days of performing the work for verification and approval.
The retailer agrees to complete all required information in the claim form and in accordance with the repair guide for covered and non-covered work.
Ouellet Canada Inc. agrees to pay for covered work within thirty (30) days after approval of the claim.

Termination of the contract

This contract may be terminated by either party with or without cause via a written notice within thirty (30) days.

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