First Name (required)
Last Name (required)
Address(required)
Suite/Apt.
Subdivision
City
State
Zip Code
Phone
Cell Phone
Email Address (required)
Best way to contact you? —Please choose an option—PhoneCell phoneEmail
Location of unit —Please choose an option—Living RoomGreat RoomHearth RoomBasementMaster BedroomFamily RoomKitchenOutsideOther
Firebox Opening Height
Firebox Rear Height
Firebox Front Width
Firebox Rear Width
Firebox Depth
Hearth Depth (Hearth is the area below the Firebox If No Hearth put N/A)
Hearth Width (Hearth is the area below the Firebox If No Hearth put N/A)
Height of Mantle (Measure from the base of the unit to the base of the Mantle, Mantle is the shelf above the Firebox. If No Mantle put N/A)
Depth of Mantle (Mantle is the shelf above the Firebox If No Mantle put N/A)
Is the room an open concept? (This lets us know so we don't over heat you!) —Please choose an option—YesNo
How wide is the room?
How long is the room?
Would you like us to schedule a chimney sweep? (If you have used your fireplace regularly your chimney should be cleaned and inspected annually. If this has not been done within the last year we will schedule you for a chimney sweep with our excellent certified technicians.)
Attach a picture of your fireplace! (The more info we have the better we can help you when it comes time to picking your new Fireplace Insert!)
Enter other details or comments If you have a current unit in mind let us know here!
