Sirius Range HoodsInside & Out  
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  SIRIUS RANGE HOODS  
 

 

 

 

 

 

 

 

 

 

 

 

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Please fill out the following details and submit. Your personal information is for our record keeping only and will be kept confidential.

Purchaser name:
Address:
City:
State/Province:
Zip/Postal code:
Tel number:
Email:
Height mounted over cook top:
Vented externally (yes or no):
Installed by (self or installer):
Model #:
Purchase date:
Install date:
Supplier name:
Supplier address:
Packing slip number:
Cook top name/model:
Your comments are appreciated:

   
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