Warranty Registration; Dealer Information; Unit Information - England's Stove Works 21-PG100 Instructions

WARRANTY REGISTRATION for England's Stove Works®
Purchaser Information
I. Purchased By (Name)
II. Address
III. City _______________________State________Zip Code
IV. Telephone Number
V. Email Address
Dealer Information
VI. Purchased From
VII. Address
VIII. City_______________________ State________ Zip Code
Unit Information
IX. Model Number_____________________ Purchase Date
X. Purchase Price
XI. Serial Number_____________________ Mfg. Date
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: ________________________________________________________
_________________________________________
____________________________________________________
___________________________________________
_______________________________________________
_____________________________________________
___________________________________________________
_____________________
Burn Trailer Demonstration____
Dealer (Name of dealer) ___________
_________________
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____________
__________
_____________
Internet____
Internet____