Hearth Distributor
Eclipse Distributing
800-536-9000
M-F 8:30am-5:00pm
warranty
Warranty Request
*
Dealer Acount Name
*
Your Name
*
Email Address
*
Phone Number
End User Info
*
Name
*
Purchase Date
*
Date of repair
*
Address 1
Address 2
*
City
*
State
*
Zip
*
Phone
*
Description of problem.
Purchase Information
Model Purchased
Eclipse Invoice #
Serial Number
*
Defective Parts.
Part # Prefered
Requested Action
*
Please check one:
Replacement
Credit
*
Indicates Response Required
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