Visa Mastercard ORDER FORM FOR EMBERS OUTDOOR WOOD FURNACE
To place an order or for any questions before ordering call:
218-326-6786 or 218-326-2636 • Fax: 218-326-1065
Mailing Address Mail order to: Charmaster Products • 2307 Hwy. 2 West • Grand Rapids, MN 55744
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EMBERS OUTDOOR WOOD FURNACE      Right Hand____   Left Hand____ $
Embers Ductwork Box Kit add $428.00 $
DuraTech Insulated Chimney - 3 foot add $176.00 ea $
DuraTech Insulated Chimney - 4 foot add $227.00 ea $
DuraTech Stainless Chimney Cap add $104.00 $
DuraTech Storm Collar add $14.00 $
DuraTech Extended Roof Bracket add $104.00 $
Wood Fork add $51.00 $
12" x 12" Round to Square Metal Register add $25.00 ea $
12" Round Flex Duct (Heavy Duty) add $80.00 ea $
#14 Duct Connector add $45.00 ea $
12" x 12" Floor Grill (Heavy Duty) add $39.00 ea $
12" x 12" Closure Type Floor Register add $63.00 ea $
I have read and understand the furnace information provided to me by Charmaster Products and agree to the terms. If paying by credit card, this order form must be signed and mailed back to Charmaster before your order can be shipped. Sub-total $
Visa Payment will be made by:
Visa_____ Mastercard_____ Check_____
Freight $

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If Minnesota resident add 6.875% sales tax $

Signature
TOTAL $
Mailing Address   Name:
  Address:   Daytime Phone:
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THANK YOU FOR YOUR ORDER - WE APPRECIATE YOUR BUSINESS!
For security reasons and for your protection, we are not accepting credit card orders over the internet.
We want to be involved in your order to make sure the heating system you are ordering is right for you and your home or business.
We would appreciate discussing your order with you, please call us today at 218-326-6786.

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