Installation Instructions

Please register your Chimney with the Manufacturer.

Mail to: Selkirk Corporation,

Product Registration, 3050 Corporate Exchange Blvd., Grand Rapids, MI 49512

Name: ____________________________________________________________________________________

Address:__________________________________________________________________________________

City:______________________________________________________________________________________

State:__________________________________________ Zip Code:___________Telephone #:____________

Chimney Model:__________________________________ Installation Date:____________________________

Technician Name:__________________________________ Address:________________________________

City:_____________________State:___________________Zip 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: ____________________________________________________

State:___________________________________________________

INSTALLED BY:

TECHNICIAN NAME:______________________________________

Address:________________________________________________

City: ___________________________________________________

State:__________________________________________________

INSTALLATION INFORMATION

PRODUCT REGISTRATION