Warranty Claim / Parts Submission
Fill out all information completely. This form MUST accompany request for parts or credit WILL NOT be issued. *SUBMISSION OF THIS FORM DOES NOT GUARANTEE THAT WARRANTY CREDIT WILL BE ISSUED TO YOU. WARRANTY CREDIT WILL BE DETERMINED BY THE MANUFACTURER IN ACCORDANCE TO THE TERMS OF THEIR WARRANTY POLICY
DATE:
WHO IS SUBMITTING THIS FORM?
*
Dealer / Contractor
Customer
Dealer / Contractor Info
No dealer — Retail customer
PURCHASING DEALER/CONTRACTOR:
CONTACT AT DEALER/CONTRACTOR:
DEALER/CONTRACTOR ADDRESS:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
DEALER/CONTRACTOR PHONE:
Please enter a valid phone number.
Format: (000) 000-0000.
DEALER/CONTRACTOR EMAIL:
*
example@example.com
Customer Information
CUSTOMER NAME:
First Name
Last Name
CUSTOMER ADDRESS:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
CUSTOMER PHONE:
Please enter a valid phone number.
Format: (000) 000-0000.
CUSTOMER EMAIL:
example@example.com
FIREPLACE PRO’S CONTACT:
Where should we ship your order?
*
Ship to Customer
Ship to Dealer / Contractor
Product and Purchase Details
DATE OF ORIGINAL PURCHASE:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Leave blank if unknown
UPLOAD A COPY OF YOUR INVOICE:
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PRODUCT MANUFACTURER / BRAND:
MODEL NUMBER OF UNIT(S):
SERIAL NUMBER OF UNIT(S):
DATE OF INSTALL (If different from purchase date):
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Leave blank if unknown
DATE OF SERVICE:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Leave blank if unknown
Issue Details
DETAILED DESCRIPTION OF PROBLEM:
REPLACMENT PART NUMBER(S):
List each part number if known.
PARTS USED / PARTS RETURNED (add part# and description):
UPLOAD WARRANTY PHOTOS
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Please attach photos showing the product, the problem and any affected parts. Include the model / serial label when applicable. You may upload multiple photos
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of
Submitter Email:
example@example.com
Submit
Should be Empty: