SIRIUS USA

WARRANTY FORM

The fields required with the * are obligatory.
*Your Name
*E-Mail
*Address
*City
*State
*Zip Code
*Country
*Phone Number
*Purchased From
*Date of Purchase
*Model Nr
*Serial Number

My hood is installed	over a Gas Cooktop
	over a Gas Range
	over a Gas Electric Cooktop
	over a Gas Electric Range

The size of the air outlet is	round 8"
	round 6"
	round 5"
	rectangular

My hood was previously in a show room Yes No

* I read and accepted the warranty terms.