APPLICATION FOR REGISTRATION OF A DEVICE WITH COMMISSIONING

Surname

First name

Address

Postal code

Town

Phone

E-mail

Device model:

Serial number (1)

(1) Where can I find the serial number of my device ? Please click here for more information.

Name and address of the point of sales:

Date of purchase:

Do you have the instruction manual ?

YES

Installation made by :

ZONE 1, 2 or 3

REMINDER

MANDATORY installation in zone 1 for the following devices : FLAME, MURAT, BALMET, COME, CHAUVET, AUBRAC, PAVIN

Authorized installation in zone 1, zone 2, zone 3 for the following devices : MAURIAC 10, MAURIAC 12C

More information about the zones.

Commissioning will take place within an average of 15 working days following the request for commissioning.
The appliance must be connected to the flue, to the electrical network and loaded with pellets.
The user and / or the installer must be present during commissioning (approximately 1 hour).

By checking the box above, I agree that my installation will comply with the law before the technician's arrival. I agree to pay the sum of € 130 before tax to the technician who carried out the commissioning.The amount is given as an indication and may vary depending on the country.