Please provide the following contact information:

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
URL

From whom did you buy your Spa (Dealer Name)

Date of Purchase; (dd/mm/yy)

-- dd/mm/yy

What is the model of your spa?

Did you register your spa?

Online
Mailed Warranty Card
Registered By Dealer
Never Registered
Unknown

Follow this link to register: http://hydrospaeu.com/owners.html

Have you contacted anyone about this problem?

Dealer
Manufacturer
Distributor
Local Repairman
Other

Has anyone already been to your home about this problem?

Yes
No

Please describe what actions you have already undertaken to fix the problem.

Can you describe the problem with your spa?

Where is your spa located?

Inside
Outside

Purpose of the spa

Commercial
Residential

Is the spa accessible?

Yes
No

When will the spa be available for repair (someone must be present)

Is there anything else we should know (dogs, fences, dangerous conditions, etc.)?