Your Name (required)

Your Email (required)

Address (required)

Your Phone Number (required)

Date of Purchase/Installation. (required)
Example: 12/05/2015

Original Invoice Number (required)

Fireplace model (required)

Your Serial Number. Located on the ratings plate. See your manual for location. (required)

Type of fuel used (required)
Liquid PropaneNatural GasPelletWood

Gas pressure readings at gas valve pressure manifold (required)

Company’s names and contacts information who did the fireplace, gas and electrical work (required)

Please describe the issue you are encountering with the product. (required)