
Rev 08/24/10
ENERGY KING™ Wood/Coal Boiler Owner’s Manual
U. S.
47
Appendix E: Warranty Claim Procedures
ENERGY KING™
Warranty Claim Form
For all ENERGY KING heating appliance warranty claims, please complete this form
IN FULL
and return it to
RJM Manufacturing, Inc., via fax at
(715) 720-1797
or via postal mail at:
RJM Manufacturing, Inc., 1875 Olson Drive, Chippewa Falls, WI 54729
DEALER:
PURCHASER:
ATTENTION:
ATTENTION:
ADDRESS 1:
ADDRESS 1:
ADDRESS 2:
ADDRESS 2:
CITY, ST, ZIP
CITY, ST, ZIP:
TELEPHONE:
TELEPHONE:
FAX:
EMAIL:
Model:
Serial No:
Date of Purchase:
Date of Failure:
Date of Repair:
Description of Failure / Repairs Made (please be specific):
Signature:
Date:
Copies of invoices / receipts are required for all credits claimed on this form.
RJM Manufacturing, Inc. reserves the right to refuse any warranty claim, subject to the terms, conditions and
restrictions of the warranty agreement found in the corresponding ENERGY KING installation & operation
manual.
PARTS REPLACED
QTY
PART NO.
(if applicable)
Return
DESCRIPTION Faulty?
Miscellaneous:
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