Town & Country Warranty Registration

Please fill out the form below to register the warranty for your Town & Country Fireplace.

Fields marked with an asterisk *must be filled out

First Name:		*
Last Name:		*
Email:		*
Address:		*
City:		*
State/Province:		*
Country:		*
Zip/Postal Code:		*
Model:		*
Serial Number:		*
Purchase Date:		January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1990199119921993199419951996199719981999200020012002200320042005200620072008200920102011
Installation Date:		January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1990199119921993199419951996199719981999200020012002200320042005200620072008200920102011
Dealer:		*
Installer:		*
Please indicate the level or importance for the following:
Performance:		Not Important  Somewhat Important  Very Important
Quality of Workmanship:		Not Important  Somewhat Important  Very Important
Style:		Not Important  Somewhat Important  Very Important
Dealer Presentation:		Not Important  Somewhat Important  Very Important
Lifetime Warranty:		Not Important  Somewhat Important  Very Important
PE/T&C Reputation:		Not Important  Somewhat Important  Very Important
Satisfied With Purchase:		Yes  No
May We Contact You Regarding this Purchase?		Yes  No
Where did you hear about our Products? (you may select more than one)		Magazine Ad Word of Mouth In-Store Display Yellow Pages Website Architect/Designer
Comments:
All information provided is for the exclusive use of Town & Country Fireplaces Ltd., and is collected to serve your questions in the most timely and specific manner. Under no circumstances will your details be released to a third party.
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