United States Stove Company 4840 - Manual (Page 19)

Ussc 19
Warranty Registration Form
Please take a moment and properly register your new stove
within 10 days of purchase by completing this form.
You can also complete this form by visiting us at usstove.com
Owner: ____________________________________________________________________
Address:__________________________________________________________________
City:____________________________ State: __________ Zip:______________________
Email Address: ______________________________________________________________
Phone: ____________________________________________________________________
Dealer/Store:________________________________________________________________
City:____________________________ State: __________ Zip:______________________
Stove Model: ________________________________________________________________
Serial Number:______________________________________________________________
Date Purchased: ____________________________________________________________
Date Installed: ______________________________________________________________
PLEASE COMPLETE THE SURVEY BELOW:
How do you currently heat your home?
  Electric  Natural Gas  Propane  Heating Oil  Wood  Pellet
How did you hear about United States Stove Company?
 Internet  Local Store  Dealer  Friends/Relatives  Trade Show
 Other: ________________________________________________________________
What were your reasons for selecting one of our products? (check all that apply)
 Convenience  Salesperson  Appearance  Price  Heating Bill Savings
 Performance  Add On  Quality
Where is your hearth appliance installed?
 Living Room  Family Room  Den/Office  Bedroom  Sun Room
 Outdoor  Kitchen  Bath  Masonry Fireplace
Were you satisfied with the service of the dealer/store?  YES  NO
Did you find the unit you were looking for?  YES  NO
May we contact you regarding your dealer, your purchase or your unit?  YES  NO
Please rate your dealer/store on the following:
Product Knowledge
 Excellent  Good  Fair  Poor
General Attitude  Excellent  Good  Fair  Poor
Overall Service  Excellent  Good  Fair  Poor
PLEASE SEAL WITH CLEAR TAPE BEFORE MAILING