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My contact information

First name*

Surname*

Company

Postal address*

Postcode*

Country*

Tel.*

Fax

E-mail*

Description of problem

Problem relating to*

Short description of problem*

From whom did you buy your pellets (company, address)?*

In what packaging*

Bag code

Delivery date

Make and year of your boiler or stove

Date of last maintenance of your stove/boiler

Supply method for your device

Date of your last chimney sweeping

Is your fireplace double walled with a casing?

Yes No

Does your stove/boiler have a lambda probe?

Yes No

Have you kept a sample of pellets?

Yes No