Customer Rewards Program Agreement

 

    Customer Name

    Home #

    Cel #

    Address/City

    Zip

    E-mail

    (not to be shared with anyone)

    CUSTOMER REWARDS PROGRAM AGREEMENT

    FURNACE(S)

    AIR CONDITIONER(S)

    Make

    1)

    2)

    Make

    1)

    2)

    Model No.

    Model No.

    Serial No.

    Serial No.

    ADDITIONAL EQUIPMENT

    Make

    Model No.

    Serial No.

    PRICING

    Heating and Air Conditioning Equipment

    Program 1 (2 cleanings) - renewal only

    $225.00

    Program 2 (4 cleanings)

    $440.00

     

    # of add'l equipment

    x

    program #

    x

    $100.00

    =

     

     

     

     

     

    TOTAL

    Agreement includes the following:

    • 17 point preventive maintenace (see back for details)

    • 10% discount on any repair service

    Note: Furnace and A/C cleanings without program are $145.00 each

    Humidifier(s)

    Panel needed

     

    # of furnace cleanings

    x

    # of humidifiers

    x

    $60.00

    =

    TOTAL

    Note: Any other brand besides Aprilaire, additional charges will apply.

    Mini-Split

    # of cleanings

    x

    program number

    x

    $70.00

    =

    TOTAL

    # of cleanings

    x

    program number

    x

    $45.00

    =

    TOTAL

    We will call/e-mail to schedule your appointment.

    WINTER

    SUMMER

    WINTER

    SUMMER

    WINTER

    Filter System(s) Needed (circle filter required)

    Dynamic Air Filters (3 packs) / Aprilaire 501 Filters

    # of filter(s)

    x

    changed per year

    x

    # year

    x

    $90.00

    =

    Media Filters (Aprilaire, Honeywell)

    Size:

    # of filter(s)

    x

    changed per year

    x

    # year

    x

    $70.00

    =

    AccuClean Air Filtration System

    # of unit(s)

    x

    cleanings per year

    x

    # year

    x

    $70.00

    =

    Water Heater(s)

    Standard

    # of winter cleanings

    x

    # of water heaters

    x

    $65.00

    =

    TOTAL

    Tankless

    # of winter cleanings

    x

    # of water heaters

    x

    $110.00

    =

    TOTAL

    Healthy Living Accessories

    Air Scrubber Bulb (change every 2 years)

    Number of Air Scrubbers

    x

    $230.00

    =

    TOTAL

    Dutchman UV Bulb (change every year)

    Number UV Units

    x

    $115.00

    =

    TOTAL

    PAID ON INVOICE#:

    TOTAL