24
Warranty Registration Form
Please take a moment and properly register your new stove
within 10 days of purchase by completing this form.
You can also complete this form by visiting us at usstove.com
Owner: ____________________________________________________________________
Address:__________________________________________________________________
City:____________________________ State: __________ Zip:______________________
Email Address: ______________________________________________________________
Phone: ____________________________________________________________________
Dealer/Store:________________________________________________________________
City:____________________________ State: __________ Zip:______________________
Stove Model: ________________________________________________________________
Serial Number:______________________________________________________________
Date Purchased: ____________________________________________________________
Date Installed: ______________________________________________________________
PLEASE COMPLETE THE SURVEY BELOW:
How do you currently heat your home?
Electric
Natural Gas
Propane
Heating Oil
Wood
Pellet
How did you hear about United States Stove Company?
Internet
Local Store
Dealer
Friends/Relatives
Trade Show
Other: ________________________________________________________________
What were your reasons for selecting one of our products? (check all that apply)
Convenience
Salesperson
Appearance
Price
Heating Bill Savings
Performance
Add On
Quality
Where is your hearth appliance installed?
Living Room
Family Room
Den/Office
Bedroom
Sun Room
Outdoor
Kitchen
Bath
Masonry Fireplace
Were you satisfied with the service of the dealer/store?
YES
NO
Did you find the unit you were looking for?
YES
NO
May we contact you regarding your dealer, your purchase or your unit?
YES
NO
Please rate your dealer/store on the following:
Product Knowledge
Excellent
Good
Fair
Poor
General Attitude
Excellent
Good
Fair
Poor
Overall Service
Excellent
Good
Fair
Poor
PLEASE SEAL WITH CLEAR TAPE BEFORE MAILING