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| Mail order to: Charmaster Products • 2307 Hwy. 2 West • Grand Rapids, MN 55744 | |||||
| Name: | Date: | ||||
| Address: | Daytime Phone: | ||||
| City: | State: | Zip: | Alternate Phone: | ||
| EMBERS OUTDOOR WOOD FURNACE Right Hand____ Left Hand____ | $ |
| Embers Ductwork Box Kit | add $428.00 | $ |
| DuraTech Insulated Chimney - 3 foot | add $165.00 ea | $ |
| DuraTech Insulated Chimney - 4 foot | add $213.00 ea | $ |
| DuraTech Stainless Chimney Cap | add $95.00 | $ |
| DuraTech Storm Collar | add $13.00 | $ |
| DuraTech Extended Roof Bracket | add $97.00 | $ |
| Wood Fork | add $51.00 | $ |
| 12" x 12" Round to Square Metal Register | add $25.00 ea | $ |
| 12" Round Flex Duct (Heavy Duty) | add $80.00 ea | $ |
| #14 Duct Connector | add $45.00 ea | $ |
| 12" x 12" Floor Grill (Heavy Duty) | add $39.00 ea | $ |
| 12" x 12" Closure Type Floor Register | add $63.00 ea | $ |
| 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 order can be shipped. | Sub-total | $ | ||
Visa_____ Mastercard_____ Check_____ |
Freight | $ | ||
Card No. __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiration date __ __ / __ __ 3 Digit Code __ __ __ |
If Minnesota resident add 6.875% sales tax | $ | ||
Signature |
TOTAL | $ | ||
| Name: | |||||
| Address: | Daytime Phone: | ||||
| City: | State: | Zip: | Alternate Phone: | ||
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. |