STEP 2

PLEASE FILL OUT A SEPARATE FORM FOR EACH FILTER YOU OWN.

Name*

Address*

City*

State*

Zip*

Phone

E-mail Address

*required information

How many pool filters do you own?

To the best of your knowledge, was this filter purchased in 2003?

Purchased from? Company Name:

Company Address:

Company City:

Company State:

Company Zip:

Model Number(s):

Serial Number: (this may be difficult to read)

Please fill in as many characters as you can clearly read. Any characters that you are not sure of, please fill in to the best of your ability. (Example: 1G03T)

Filter Cleaning

I clean my pool filter(s) myself.

I have our filter cleaned by a (friend, relative, etc.)

I never clean our filter.

I have our pool filter cleaned by a service company.

Company Name:

Company Address:

Company City:

Company State:

Company Zip:

Contact Name:

Phone:

E-mail Address:

Posi-Lok™ Ring Replacement

If your filter needs a new ring, Sta-Rite will send you a replacement ring free of charge. When we receive the old ring back, we will send you a $10.00 "Thank You" for assisting in this replacement effort.

Please select ONE of the following:

I am willing to exchange the locking rings myself.

I am willing to ask my service company to replace the ring.

I would like Sta-Rite to hire somebody to come and replace the ring. I will provide access to the filter.

I do not want the ring replaced.

After you submit this form, the ring replacement instructions are available for download.