PRODUCER REGISTRATION FORM
This form must be completed and returned for every installation to qualify for warranty.
Post to:
P O Box 11-245, Sockburn, Christchurch
Email to:
info@pelletfiresolutions.co.nz
Customer Details:
Customer Name:
Postal Address:
Installation Address:
Phone Number
Cell Phone
Email Address
Declaration by Owner: I hereby certify the above particulars are true and correct. My Pellet Fire
Technician has demonstrated to me the correct operation of my Pellet Fire.
I understand that warranty conditions require an authorised Pellet Fire Solutions Installer to complete the
installation
Signed:
Date:
Installation Details:
Pellet Fire Model & Serial Number:
Installation Date:
Freestanding Flue Kit:
Internal
External Standard
Fireplace Insert Flue Kit:
Insert
BIH
Installer Details:
Installers Name:
Phone Number:
Passed Inspection
Yes/No (if no, why)
Declaration by Approved Technician: I
hereby certify that the above appliance has been installed and commissioned in compliance with
Manufacturers Installation requirements and appropriate New Zealand Standards/Local Council
requirements.
Signed:
Date:
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