Hargrove Hearth Products - Gas Logs, Hearth Pads, Stove Boards

Hargrove Hearth Products
Last Name: First Name:
Address 1: Address 2:
City: State: Zip Code:
E-mail Address: Telephone (optional):
Log Set Size, Burner, Valve Configuration & Gas Type:	Size: Burner: Valve: Gas Type:
Name of Log Set, Log Style or Hearth Pad:	Other:
Revolution Electric Log Set or Fireplace:	Mantel:
How did you find out about Hargrove Gas Logs?
Dealer's Name: Dealer's City:
What was your most important consideration in purchasing this product?
Where will the product be installed? new construction an existing home
Is this the first set of gas logs you have owned? Yes No
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PRIVACY STATEMENT: All information collected on this form is for the internal use of Hargrove Manufacturing Corp. and its dealers, and will not be sold or distributed to other parties.

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