England's Stove Works 55-SHPEP Manuale Utente

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Purchaser Information 

I. Purchased By (Name)  _________________________________________ 

II. Address  ____________________________________________________ 

III. City_______________________State________Zip Code  ____________ 

IV. Telephone Number ___________________________________________ 

V. Email Address _______________________________________________ 

Dealer Information 

VI. Purchased From _____________________________________________ 

VII. Address ___________________________________________________ 

VIII. City_______________________ State________ Zip Code __________ 

Unit Information 

*Refer to the sticker on the back of the manual or box to complete this section. 

IX. Model Number_____________________ Purchase Date _____________ 

X. Purchase Price_____________________ 

XI. Serial Number_____________________ Mfg. Date _________________ 

Purchase Questions 

How did you first hear about our product? (Please check one) 

Word of Mouth ____ 

Burn Trailer Demonstration____ 

Internet____ 

Other: ________________________________________________________ 

Where did you receive information about our product? 

Via Telephone____  Dealer (Name of dealer) ___________ 

Internet____ 

Other: ________________________________________________________