Friday, November 21, 2008

To activate your Regency Limited Lifetime Warranty, please complete the following form.

Regency is so confident in the quality of materials and workmanship invested in each Regency unit we produce, that we offer you the industry's most comprehensive Limited Lifetime Warranty. Please see your Owner's Manual or your Retailer for complete details.

(Items in red are required.)

About you:

First Name

 

Last Name

 

Address 1

 

Address 2

 

City

 

State or Province

 

ZIP or Postal Code:

 

Phone:

( ) -  

Email:

 

About your Regency

Model  
Serial #  
For help in finding the Model # and Serial # click here.  
Date Purchased / / mm/dd/yy  

About your Dealer

Dealer Name  
City  
State or Province  
Were you satisfied with your dealer? Yes
No
 
If no, why not?  

What motivated your purchase? (select one)

Where did you install your Regency?

How else do you heat your home?

Where did you hear about Regency?

What was important to you when choosing your hearth product? (Choose all that apply)

 
Not Applicable
Somewhat Important
Very Important
Price
Brand Name
Quality
Heat Output
Ability to customize the look
Efficiency
Warranty
Local Service

 

Yes
No

Do you wish to receive information about special promotions or other Regency products?

 

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