Contact Information * First Name * Last Name * Phone * Address * Email * City * State Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware Distric of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming * Zip Service Information * Service Address * Phone * City, State & Zip Subdivision This is not my permanent residence. Please contact the person below for access to the property: Name Phone Address City, State & Zip This contract covers the period of one year beginning: * Month * Day * Year Service Agreement Items HVAC Maintenance Service HVAC Energy Savings Agreement - 1 System Amount Each Additional System at Same Location - Qty: Amount Duct Cleaning Whole House / One Cleaning / up to 10 Grilles Amount Additional Grilles - Add $35 per Grille - Qty. Amount Dehumidifier Amount Mini-Split System Amount Home Generator Amount Plumbing Maintenance Service Plumbing Safety Agreement / 1 Water Heater / to 2.5 Bath Amount Each Additional Water Heater - Qty Amount Each Additional Bath - Qty Amount Smoke Detector(s) Located Over 10 Feet High Amount Dryer Vent Cleaning / Standard Only Amount Sump Pumps Amount Encapsulation Maintenance Service Crawlspace or Attic Encapsulation Amount Combination Crawlspace and Attic Encapsulation Amount SERVICE AGREEMENT TOTAL AMOUNT Comments Enter code Carolina Cool will endeavor to render prompt and efficient service hereunder, but it is expressly agreed that CC&P shall in no event be liable for damage or loss caused by delay beyond our control or unavailability of parts from the manufacturers. This agreement does not cover material or labor for repairs or any service visits. No service will be rendered under this agreement if the customer has a past due account. Customer must provide reasonable access to the equipment for routine maintenance and service visits. Nuisance calls where there is nothing wrong or due to improper operation are chargeable at regular labor rates. This agreement is transferable but not refundable. Thank you for filling out the service agreement. Next you will now be redirected to the payment portal page. Please enter the total dollar amount of your service agreement into the payment portal. The agreement will be invalid until payment is received. We appreciate your business and look forward to serving you. reset submit Thank you for your order!We will be in touch shortly. Please turn on javascript to submit your data. Thank you!
