Installer: Please complete the following information
Dealer Name & Address: ______________________________________________
___________________________________________________________________
Installer: ___________________________________________________________
Phone #: ___________________________________________________________
Date Installed: ______________________________________________________
Serial No.: __________________________________________________________
Regency
and Regency Horizon, are trademarks of FPI Fireplace Products International Ltd.
®
© Copyright 2019, FPI Fireplace Products International Ltd. All rights reserved.
Liberty LRI4E
Horizon HRI4E
Printed in Canada