England's Stove Works 28-4000 Guide D'installation Et D'utilisation page 36

WARRANTY REGISTRATION for England's Stove Works®
Purchaser Information
I. Purchased By (Name)
II. Address
III. City
IV. Telephone Number
V. Email Address
Dealer Information
VI. Purchased From
VII. Address
VIII. City
Unit Information
*Refer to the sticker on the back of the manual or box to complete this section.
IX. Model Number
X. Purchase Price
XI. Serial Number
Purchase Questions
How did you first hear about our product? (Please check one)
Word of Mouth
Other:
Where did you receive information about our product?
Via Telephone
Other:
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State
State
Burn Trailer Demonstration
Dealer (Name of dealer)
Zip Code
Zip Code
Purchase Date
Mfg. Date
Internet
Internet