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Contact Information |
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| Name: | |
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| Phone: | (with area code) |
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| Please provide the following information: | |
| Product Code: | |
| Serial Number: | |
| Purchase Date: | (mm/dd/yy) |
| Dealer Name: | |
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Please help us help you by answering a few questions. This information is for in-house use only, in order to help us serve you better -- it will not be shared with any third party. |
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| Age: | 20 - 29 30 - 39 40 - 49 50 - 59 60+ |
| Family Income: | |
| How did you hear about Napoleon? | |
| Were you satisfied with the service you received from the dealer? | Yes No If no, please explain:
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| Are you happy with your fireplace? | Yes No Please take the time to write in the box below if you have any comments or improvement suggestions for us:
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| Would you like to receive product information and special offers from Napoleon? | Yes No |
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Important note:
After
completing the warranty registration, please retain your warranty
information.
Napoleon Fireplaces retains the right to request verification of proof of purchase.
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