Name:
Address:
Tel/fax:
Date of sale:
The fireplace insert should be installed in accordance with
the rules and regulations valid in the country, the manual
provisions by the installer having required qualifications.
I hereby declare that having read the operating manual and
the guarantee conditions in case of failure to observe the
provisions included there the producer bears no liability for
guarantee.
Name of the installer's company:
Installer's address:
Tel/fax:
Date of commissioning:
I hereby declare that the fireplace insert installed by my
company meets the requirements of the operating manu-
al is installed in compliance with the appropriate relative
standards.
SELLER
INSERT BUYER
INSERT INSTALLER
SUPPORT SERVICES
Seller's seal and signature;
Date and legible signature of the
Buyer;
Installer's seal and signature;
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