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Please register your Chimney with the Manufacturer.
Mail to: Selkirk Corporation,
Product Registration, P.O. Box 526, Depot 1, Hamilton, On, L8L 7X6
Register Online @: www.selkirkcorp.com
Name:
____________________________________________________________________________________
Address:_________________________________________________________________________________
City:______________________________________________________________________________________
State:________________________________________ Postal Code:___________Telephone #:__________
Chimney Model:__________________________________ Installation Date:___________________________
Technician Name:__________________________________ Address:_______________________________
City:_____________________Province:_______________Postal Code:__________Telephone #:__________
Keep in a safe place for future reference
CHIMNEY MODEL:__________________________________________
TYPE OF APPLIANCE:______________________________________
INSTALLATION DATE:_______________________________________
DESCRIPTION OF INSTALLATION (Chimney and Flue Pipe Configuration)________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
PURCHASED FROM:
DEALER NAME:___________________________________________
Address:_________________________________________________
City: ____________________________________________________
Province:___________________________________________________
INSTALLED BY:
TECHNICIAN NAME:______________________________________
Address:________________________________________________
City: ___________________________________________________
Province:__________________________________________________
INSTALLATION INFORMATION
PRODUCT REGISTRATION
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