16
N
N
O
O
R
R
D
D
I
I
C
C
A
A
W
W
A
A
R
R
R
R
A
A
N
N
T
T
Y
Y
C
C
A
A
R
R
D
D
Complete this form
And return by mail
EVOLUTION
First name:
____________________________
Last name:
______________________________
Address:
____________________________________________________
City
: _____________
Province
__________
Postal Code
_______
Tél
.
-
-
Name of Store
____________________
City of Store
______________
Province
__________
Date of Purchase
Model
Color
-
-
Evolution
Black Blue
Green Brown Grey
Serial No WH
-
1-Application
2-
Area of installation
3-
Principal use of heating
Renovation
Living room
Electricity
Stove improvement
Basement
Gas
Other ____
Other ______
Wood
Other
4
-
Do you own another wood stove?
Yes
No
5
-
What uses will your wood stove be for?
Principal source of heat
Auxiliary source of heat (In case of emergency
Other: _________________________________
6-What reasons motivated your choice?
Price
Quality
Efficiency
Other _______________________
7What other brand of wood stove have you thought of before purchasing?
___________
Nordica is so confident in the quality of materials and workmanship of each unit, that we offer a reliable and
complete warranty to you. Please see your instruction manual or your retailer for more information.
11750, Pilippe-Panneton, Montréal, Québec, H1E 4G4,
