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About you

First name *
Last name *
Address *
City *
Country * Canada USA Other
Province / State * Alabama Alaska Arizona Arkansas California North Carolina South Carolina Colorado Connecticut North Dakota South Dakota Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New York New Mexico Ohio Oklahoma Oregon Pennsylvania Rhode Island Tennessee Texas Utah Vermont Virginia West Virginia Washington Wisconsin Wyoming
ZIP / Postal code *
Telephone *
E-mail *

About your hearth product

Model Name FP1 Manoir - Decorative wood burning fireplace with retractable doors FP2 Beaumont - Decorative wood burning fireplace FP4 Champlain - High efficiency wood burning fireplace FP5 Westmount - Decorative see-through wood burning fireplace FP6 Montcalm - Decorative wood burning fireplace FP7 Antoinette - Decorative wood burning fireplace with guillotine door FP8 Saguenay - High efficiency wood burning fireplace FP9 Versailles - High efficiency wood burning fireplace
Model # FP1-S-06 / FP1-A-06 FP2-S-06 / FP2-D-06 FP4-BO FP5-S-BO / FP5-D-BO FP6-S-06 FP7-BO FP8-BO FP9-BO
Serial # *
The serial number is normally located on the certification label attached behind the bottom louver of the unit. The certification label has a silver color. The serial number is composed of several digits and is located at the top center of the certification label. The model number is normally composed of letters and digits and is often located close to the serial number. The model number generally begins with the letters FP.

Date purchased

About your Dealer

Dealer name *
City *
Country * Canada USA Other
Province / State * Alabama Alaska Arizona Arkansas California North Carolina South Carolina Colorado Connecticut North Dakota South Dakota Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New York New Mexico Ohio Oklahoma Oregon Pennsylvania Rhode Island Tennessee Texas Utah Vermont Virginia West Virginia Washington Wisconsin Wyoming

Were you satisfied with your dealer?

Yes
No

If no, why not?

What motivated your purchase?

Replacement of an old unit

The desire to create a warm and cosy ambiance

The desire to reduce heating costs

The construction of a new house

The desire to increase the capacity of an existing heating system

The desire to have a secondary heat source

Other reasons

Where did you install your hearth product?

In a primary residence, in the basement

In a primary residence, at the ground floor level

In a secondary residence, in the basement

In a secondary residence, at the ground floor level

In a garage

In a hunting/fishing camp

In a commercial building

Other location

How else do you heat your home?

Central heating system running on natural gas

Central heating system running on propane

Central heating system running on fuel oil

Central heating system running on pellet fuel

Central heating systeme running on wood

Central heating system running on coal

Central heating system running on electricity

Space heating system running on natural gas

Space heating system running on propane

Space heating system running on fuel oil

Space heating system running on pellet fuel

Space heating systeme running on wood

Space heating system running on coal

Other

Where did you hear about our hearth product?

A friend or family member who already has a hearth product

In a newspaper

On television

On the radio

In a magazine

In a flyer

At the store where you bought your unit

On the Internet

Other

What was important to you when choosing your hearth product?

	Not applicable	Not important	Somewhat important	Very important
Price
Brand name
Quality
Heat output
Ability to customize the look
Efficiency
Warranty
Local Service

Are you satisfied so far about your hearth product?

Too soon to tell

Very unsatisfied

Unsatisfied

Satisfied

Very satisfied

Comments

Do you wish to receive information about special promotions or
others hearth product?

Yes
No