Northern Stoker 30-30, Owner'S Manual, Page: 24 / 28

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(Fill out and send to your Dealer for complete warranty coverage as soon as furnace is installed)
OWNER’S WARRANTY REGISTRATION
CARD
DATE OF PURCHASE: ______________
INSTALLED DATE: _________________
TODAY’S DATE: ___________________
MODEL NUMBER: ________________
SERIAL NUMBER: ________________
DEALERS NAME: _________________
_________________________________
PURCHASING INFORMATION
OWNER’S INFORMATION
NAME: ____________________________
___________________________________
ADDRESS: _________________________
PHONE NUMBER 1: (____)__________
PHONE NUMBER 2: (____)__________
FAX: (____)_________
EMAIL:
_________________________________
_________________________________
INSTALLATION INFORMATION
INSTALLED BY: DEALER CUSTOMER
INSTALLED FOR: HOUSE COMMERCIAL AGRICULTURAL GARAGE SHOP GREENHOUSE
OTHER ___________________________________________________________________________________________
FURNACE AND ACCESSORIES RECEIVED IN GOOD ORDER YES NO
INSTALLATION COMPLETED IN PROFESSIONAL MANOR YES NO
INSTALLER EXPLAINED FURNACE OPERATION AND ACCESSORY PRODUCTS YES NO
INSTALLED WITH BIOMASS STOKER ADD-ON: YES NO
MANUFACTURED BY: NORTHERN STOKER
4 THOMPSON ROAD, PO BOX 550, SUNDERLAND, ONTARIO, CANADA, L0C 1H0
P:705-357-3999, F:705-357-3388, www.northernstoker.ca
CUSTOMER SIGNATURE: _________________________________________________________________________
CUSTOMER (PRINT) NAME:_______________________________________________________________________
DEALER SIGNATURE: ________________________________ DEALER (PRINT) NAME: ________________________________
D E A L E R ’ S C O P Y