17
SOCA INDUSTRIES INC WARRANTY CARD
DIAMOND INSERT
Complete this form and return by mail
PERSONAL INFORMATION
First name : __________________________________
Last name : __________________________________
Address : ___________________________________________________________________________________
City : ________________________
Province : ____________________
Postal Code : __________________
INFORMATION RELATING TO THE PURCHASE
Model : ____________________________________________________________________________________
Date of purchase : _____________________________ Serial number : _______________________________
Name of the store : __________________________________________________________________________
City of the store : ______________________________ Province : ____________________________________
OTHER INFORMATION
Application
Renovation :
Improvement of the heater :
Other : ________________________________
Area of installation
Living room :
Basement :
Other : ________________________________
Principal use of heating
Electricity :
Gas :
Wood :
Other : ________________________________
Do you own another heater?
Yes
No
What use will your heater be for?
Principal source of heat :
Auxiliary source of heat :
Other : ________________________
What reason motivated your choice?
Price :
Quality :
Efficiency :
Other : __________________________
What other brand of heater have you considered before purchasing?
___________________________________________________________________________________
