x - standard
x - compris
NAPOLEON APPLIANCE CORPORATION
ACCESSORIES / PARTS ORDER FORM
CUSTOMER NAME:
ADDRESS:
TELEPHONE:
VISA OR MASTERCARD #:
QUANTITY
PRODUCT NUMBER
TAXES SHIPPING CHARGES MAY APPLY
p - propane units only
n - natural gas units only
ac - accessory
FAX TO: 1-705-727-4282
PLEASE PRINT CLEARLY
p - appareils propane seulement
n- appareils gaz naturel seulement
ac - accessoires
DATE:
MODEL #:
SERIAL #:
EXPIRY DATE:
DESCRIPTION