Fax
Warranty Claim Request
434-929-4810
All fields are required.
Owner info
Name:_________________________________________
Address:_______________________________________ (NO P.O. Boxes, must be physical address)
City:__________________________________________

State:___________ Zip:_________________
Phone number:__________________________________
Email address:__________________________________
Stove info
Model number:__________________________________
Serial number:__________________________________
Manufacture date:________________________________
Purchased from:_________________________________
Date of purchase:_________________________________
Part number and brief explanation of problem:
______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________