Service Call Request Form

Customer Details

Last name:*

Business name:

Address:

Suburb:

State:

Postal code:

Phone (home):*

Phone (work):

Email:*

Type of equipment:

Choose one from below: Furnace only Air conditioning only Furnace & A/C Thermostat/Controls Ductwork/Cleaning Air Cleaner Humidifier Hot Water Tank Gas Fireplace Other

Make of equipment:

Choose one from below: Lennox Carrier Rheem Trane York American Standard General Electric Sanyo Mitsubishi Goodman Energy Kinetics Honeywell Aprilaire General-aire Other

Age of equipment:

Choose one from below: 0-1 year 1-5 years 5-10 years 10 -20 years Over 20 years

Non Warranty Call