Jade Range Request for Information Form
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StarChefs
 
Jade Range Request for Information Form
* Indicates this information is required
1. Please send me more information about Jade
*(at least one option needs to be selected)
Ranges
Plancha - Spanish Style
Custom Island Suites
Bistro Range
Brick Pizza Oven
Chinese Wok Range
High Mass Oven
 
2. Full Name:
*
 
3. Email Address:
*
 
4. Position Title:
*
 
5. Type of Establishment:
*
 
6. Name of Establishment:
*
 
7. Address:
*
 
8. City:
*
9. State:
*
 
10. Zipcode:
*
 
11. Fax:
*
 
12. Phone:
*
 
13. What is the best method for you to receive information?
*(at least one option needs to be selected)
Email
Phone
Fax
 
14. Have you used Jade Range?
* Yes No
 
If so, rate Your Experience
 
If you have an outstanding issue, please describe it:
 
15. Are you familiar with the Jade Plancha?
* Yes No