Sierra Products MODEL EF 3801, MODEL EF 5000 manual EasyFire Pellet Heater Warranty Claim Form

EasyFire™ Pellet Heater

Warranty Claim Form

Customer Information:			Unit Information:
Name:_________________________________			RMA Number ____________
Address:_______________________________			Model Number	___________
City/State/Zip:___________________________			Serial Number _____________
Phone:________________________________			Date of Purchase	_________
Dealer Information:
Name:_______________________________			Date:__________________
Address:_____________________________			Mileage:________________
City/State/Zip:________________		Serviceman_________________
Describe Defect:	_____________________________________________________
	_____________________________________________________
	_____________________________________________________
	_____________________________________________________
Describe Repair:	_____________________________________________________

_____________________________________________________

_____________________________________________________

_____________________________________________________

Customer Verification:

I verify that the above repairs were made to my EasyFire Heater and that I am the original owner of the above model.

Customer Signature:________________________________________

Service Person Verification:

I verify that the above repairs were made to the above EasyFire Heater.

Service Person Signature:_______________________________________

Distributor Authorization:_______________________________________

P/N 140154 10/07

Sierra Products Inc. 5061 Brooks St. Montclair, CA 91763

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