Installed by:
Dealer
Customer
If customer, was installation explained to you?
Yes
No
Type of Installation:
House/Garage
Shop/Shed
Greenhouse
Kiln
Other ____________________________
Purchased:
With Pellet Arm Without Pellet Arm
Northwest Manufacturing Inc.
600 Polk Ave. SW
Red Lake Falls, MN 56750
Northwest Manufacturing Inc.
600 Polk Ave. SW
Red Lake Falls, MN 56750
PLACE
POSTAGE
HERE
Name _________________________________________
Address _______________________________________
_______________________________________________
Phone ________________________________________
Date of Purchase ________________________________
Model No. ______________________________________
Serial No. ______________________________________
(Model and serial numbers are located on the decal on furnace.)
Dealer’s Name __________________________________
OWNER’S REGISTRATION CARD
With Igniter Without Igniter
Cut her
e and mail r
eg
istr
ation car
d