Visa Mastercard ORDER FORM
TO PLACE AN ORDER OR FOR ANY QUESTIONS BEFORE ORDERING CALL:
Charmaster Products, Inc.
218-326-6786 or 218-326-2636 • Fax: 218-326-1065
HOURS:
M-F 8-4:30
Sat: 9-2
Mail order to: Charmaster Products • 2307 Hwy. 2 West • Grand Rapids, MN 55744
DATE: _________________
WOOD/CONTROLS
Chalet $
Charmaster $
Charmaster II Furnace/Fireplace
Right Hand Fireplace______    Left Hand Fireplace______
$
Cold Air Return add $142.00 $
WOOD/OIL    includes Oil Burner and 2 Honeywell Thermostats
Chalet $
Charmaster $
Charmaster II Furnace/Fireplace
Right Hand Fireplace___    Left Hand Fireplace___
$
Cold Air Return add $142.00 $
WOOD/LENNOX GAS
Chalet
Gas Unit to be on Left Side_____   Natural Gas____
Gas Unit to be on Right Side_____   L.P. Gas_____    L.P. Kit add $78.00
$
Charmaster
Gas Unit to be on Left Side_____   Natural Gas____
Gas Unit to be on Right Side_____   L.P. Gas_____    L.P. Kit add $78.00
$
Charmaster II Furnace/Fireplace
Gas Unit to be on Left Side_____   Natural Gas____
Gas Unit to be on Right Side_____   L.P. Gas_____    L.P. Kit add $78.00
$
INDIVIDUAL OPTIONAL FURNACE ACCESSORIES
Hot Air Plenum add $93.00 $
Safety Heat Dump add $82.00 $
Automatic Air Intake add $132.00 $
Smoke Pipe Kit
Wood/Oil - add $159.00;   Wood/Controls or Wood/Gas - add $74.00
$
Wood Fork add $44.00 $
I have read and understand the furnace information provided to me by Charmaster Products and agree to the terms. If paying by credit card, this order form must be signed and mailed back to Charmaster before your furnace can be shipped.
Visa Payment will be made by:
Visa_____ Mastercard_____ Check_____
SUB TOTAL $
Card No. __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __

Expiration date __ __ / __ __
If Minnesota resident add 6.875% sales tax  

Signature
TOTAL $
Name Daytime Phone
Address Evening Phone
City State Zip Best Time to Call

THANK YOU FOR YOUR ORDER - WE APPRECIATE YOUR BUSINESS!

For security reasons and for your protection, we are not accepting credit card orders over the internet. We want to be involved in your order to make sure the heating system you are ordering is right for you and your home or business. We would appreciate discussing your order with you, please call us today at 218-326-6786.

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