Name: Phone: Street City: State: AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of Columbia Zip: Email: Service Location Street: Service Location City: Service Location State: AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of Columbia Service Location Zip: 12 Month Period (MM/YY): to $149 per system, 2 visits per year. (1 for cooling, 1 for heating). First system $149, each additional system $140 each. Total per year = Non-refundable after thirty days from date of authorization. Make: Model: Serial No: Type: Make: Model: Serial No: Type: Make: Model: Serial No: Type: Make: Model: Serial No: Type: Plan: Plan A Plan B Plan C Plan A: Plan B: Plan C (Heat Pump) Test controls for safe operation Test volts, amps, MFds Check Defrost cycle Test electric strips & Reversing valve operation Lubricate critical components Check refrigerant level Check for refrigerant leaks Check and clean: Blower & evap coil Condenser coil Clear & treat drain Clean or replace filter Check evaporator split Check temperature rise (Gas Furnace) Test controls for safety Test volts, amps, MFds Inspect and clean: burners & controls Test safety controls Lubricate critical components Check temperature rise Check for combustion leaks Check flue Check & clean blower (Air Conditioner) Test controls for safety Test volts, amps, MFds Clean condenser coil Check electrical conn Lubricate critical comp Check refrigerant levels Check refrigerant leaks Clean or replace filter Clear & treat drain Check & clean : Blower & evap coil Check evap split Signature. By entering your name below you authorize that you understand and agree to follow the terms laid out in this agreement. Signature: Benefits of two visits per year: Priority Customer, No emergency service rates, Ten percent discount on repairs, Improve system performance, Lower utility bills, Increase system life and peace of mind. Customer is responsible for updating their mailing address and phone number when changes occur. We will make notification to schedule the appointment once by mail or email and once by phone. To prove that you are human please enter the letters you see above.
