REGISTER If you are human, leave this field blank. Benchmark PLEASE NOTE- As from 01/03/2016 - Crystal Fires have joined the national Benchmark scheme, please ensure that the Benchmark commissioning & servicing form is completed in full, by your installer, at the time of installation. Crystal fires will not undertake any repairs under guarantee until the Benchmark form is completed. Please ensure all Fields marked with an asterisk * are completed. Serial number * CONTROL TYPE * MANUAL REMOTE SLIDE CONTROL Touch control appliance * GEM OPTIONS cf1l BOSTON cf1l miami cf1l manhattan cf1l florida cf1l chicago cf1l connelly collection CF2 / CF3 montanna GEM SUPER HEATRAVE DIAMOND SLIMLINE GEM ROYALE JEWEL HOLE IN THE WALL JEWEL EMERAL GEM SCOOP GEM SLIMLINE SAPHIRE SUNRISE CONNELLY COLLECTION WIDE (denver) CONNELLY COLLECTION STANDARD (madison) CONNELLY COLLECTION SMALL (reno) CONNELLY COLLECTION TALL (tulsa) and XL CF3 montana Email Address * NAME * HOUSE NUMBER * ADDRESS * AREA * CITY * POSTCODE * Phone Number MOBILE Number INSTALLATION DATE ------Day/Month/Year------23/02/2016 PROOF OF INSTALLATION MAY BE REQUIRED FOR INSPECTION BY OUR ENGINEERS INSTALLER NAME * INSTALLER GAS SAFE NUMBER * GAS SAFE NOTIFICATION NUMBER YOUR APPLIANCE INSTALLATION MUST BE NOTIFIED VIA GAS SAFE, SEE NOTIFICATIONS INFO ON OUR HOME PAGE. LEAVE BLANK IF YOU HAVE NOT RECEIVED YOUR GAS SAFE CERTIFICATE YET. HOWEVER, YOU MUST HAVE THE NOTIFICATION NUMBER AVAILABE WHEN REPORTING ANY FAULT SHOP NAME * SHOP ADDRESS SHOP POSTCODE Checkboxes * BENCHMARK form filled in by installer (from the 1st march 2016 this must be checked) Checkboxes * I AGREEI HAVE READ AND AGREE TO THE CRYSTAL FIRES TERMS AND CONDITIONS Date
