Contact Information

Name

Address

City / State / Zip

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Phone #

E-mail

Stove Selection Worksheet

Type of Product

  Stove    Fireplace Insert     Zero Clearance Fireplace

Fuel Used

  Wood     Pellet     Propane Gas    Natural Gas

How will this product be used?

  Primary Heat Source    Alternate Heat Source    Ambiance

If primary or alternate heat source, what is the square footage to be heated?

sq./ft.

Is this a new installation or a replacement?

  New Installation     Replacement

If you are replacing an existing fireplace/stove, how is your draft?

  Good     Poor     Not Sure

Where will this product be located?

  Inside Wall    Outside Wall

In which area of your home are you planning to add this heat source?

  Living Space (living room, dining room, family room, kitchen)
  Sleeping Space (bedroom or guest room)

In order to make a recommendation we will need to to know several dimensions in and around the area where your stove/fireplace will be located.  Please refer to the diagrams below when completing the following section.

If you will be using an existing fireplace please provide the following dimensions...

Required for a stove:
A, C, E, F

Required for an insert:
A, B, C, D, E

A = Front Width

B = Rear Width

C = Front Height

D = Rear Height

E = Firebox Depth

F = Hearth Depth

All dimensions in inches

If this will be a free-standing stove, please provide the following clearances...

Parallel Wall Installation

Corner Installation

Alcove installation

A =

C =

A =

B =

F =

B =

D =

G =

D =

E =

H =

E =

G =

I =

G =

H =

H =

I =

I =

All dimensions in inches