Your data

Fields marked with the * symbol are required

Your name: *
Your role:
Company: *
Your email address: *
Address 1: *
Address 2: *
Address 3:
City: *
ZIP CODE: *
Country: *
Phone number: *
Mobile number:
Date of purchase: *
Enter the model and serial numbers of the Filtermist units here: *
Date of installation: *
Name of distributor the Filtermist unit or units were purchased from: *
Would you like your local distributor to contact you to discuss regular maintenance to ensure your Filtermist benefits from optimum performance at all times?
*Please note that the free 5-year warranty is subject to Terms and Conditions that include regular servicing and maintenance, and the use of approved Filtermist spares.