Owner Registration

Please fill out this owner registration within 10 days to insure that your new Ceiling Fan is covered by the limited warranty.

First Name*:   Middle: Last Name*:                                       (*Required Field)

Address1*:     Address2:

City*:               State*:   Zip*:     Country:

Phone*:                                             Email:    

Purchase Info:

Home Depot Store Name*:                              Store Number*:      

                               Address:       State: Zip:

Purchase Date*:                       

Model Name*:     Sku#*:   (XXX-XXX)     UPC Code*:   (792145-XXXXXX)

Model Name:       Sku#:                                 UPC Code:    

Model Name:       Sku#:                                 UPC Code:    

Enter Date*:   


Is this the first Hampton Bay product you have ever purchased?                            Yes  No

If not what other products have you purchased? (include all that apply)                  Fans      Lighting     Outdoor Furniture   

Did you also purchase any of the following?                                                          Bulbs     Light kit     Downrod       Remote

Any comments on the overall sales experience?                                                     Excellent  Good  Fair   Poor

Would you like to receive emails about new product introductions and special online sales on Hampton Bay products?      Yes  No