Sierra Products EasyFire MODEL EFI 4000 - Manual (Page 6)

6
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