6/21/2010
940
8
TK Instruction
I (Print Name):_____________________________________
Certified by (Print Organization name):_______________________________________
an employee of (Print Name of Company):_________________________________
Installing the TK at the address of:
Street Address:________________________________
City: ___________________________
State: _____________________________
Zip: _________________________________
Certify that I have read and understand the instructions for the installation, operation, and
maintenance of the Series 940 TK manufactured by Hearth Products Controls.
I have had the opportunity to contact the manufacturer concerning any question I may
have regarding the attached information.
I have also instructed the end user as to the safe operation of the unit.
Signature: _______________________________Date: _____________________________
Signature of Company Representative:__________________________________________
This document must be returned to Hearth Products Controls for the warranty to be in
effect or technical support provided.
Email to:Fax 1-877-506-9803,
Please provide a way for us to confirm we received this document from the installer.
___________________________________________________________________