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.