Fireplaces, Wood Burning Stoves, Gas Grills, Outdoor Kitchens, Northfield Ohio

Service Form

Service Request for the following:

ChimneySafety Check and Cleaning Gas / BBQ Grill Tune-up Fireplace Service, Repair or Cleaning Other
First Name:	Last Name:
Address:	City:	Zip code:
Best contact phone:	Email:
Days of the week available: Mon ¨Tues Wed ¨Thurs Fri ¨Sat
Best time of day for service: Mornings Afternoons
Coupon Code:	(if applicable)
We will try our best to accommodate your schedule, more flexible schedules will help us service you faster

Complete for Chimney Safety Check & Cleaning
Fireplace type: Wood Fireplace Gas Fireplace Wood Stove Wood Insert Pellet Stove Pellet Insert Other Information:

Complete for Fireplace Service RequestFuel Type
Gas Wood Electric Pellet Other

Approximate age of unit:
Other Information:

Complete for Gas Grill Service
Manufacturer:
Model Number:
Serial Number:
Age of Grill / Fireplace:
Other Information:

Other contact requestPlease let us know how we can be of service to you. Provide as much detail as possible or call the store.330-468-0303

Notes:

NORTHFIELD FIREPLACE & GRILLS

SHOWROOM HOURS

62 East Aurora Road (Rt. 82)
Northfield, Ohio 44067
Phone: 330-468-0303
Fax: 330-467-1505
www.northfieldfireplace.com