Antique Gas Stoves

P.O. Box 95075 Alta Loma CA 91701

(909) 484-2222

 

NAME_____________________________________________________

ADDRESS__________________________________________________

CITY__________________________STATE________ZIP___________

TELEPHONE________________________________________________

EMAIL ADDRESS____________________________________________

Check what parts or part you are sending and quantities:

Ring

Inter Ring

Other

Name Brand of stove_________________________________________________________________________________

Model & Serial Number _____________________________________________________________________________________

 

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