Number of preventative 
maintenance calls per year 
1 Year  2 Years  3 Years

 

 

1 Visit Per Year 

$59.50 

$99.50 

$127.50 

 

 

2 Visits Per Year 

$89.50 

$159.50 

$217.50 

 

 

3 Visits Per Year 

$114.50 

$209.50 

$292.50 

 

 

4 Visits Per Year 

$134.50 

$249.50 

$352.50 

 

 

Customer Name:

 

 

 

Address:

 

 

 

City:

 

 

State:

 

 

 

Zip:

 

 

 Phone #:

 

 

Date

 

 

Visits per year:

 

 

 

Number of bathrooms:

 

 

 

 Age of house:

 

 

 

 Type of heat:

 

 

 

 Email Address:

 

 
Plumbing Only Plumbing and Pumps
 

 

One Year

Two Years

Three Years

 

 

Cash

 

 

Check

 

 

 

Credit Card 

 

 

Name On Card 

 

 

 

 

Account Number: 

 

 

 

 

Exp. Date:(mm/yr)  

 

 

 

 

 

 

 

 

 

 

 

 

 
[Home][Contact Us][About Us][Products & Services]
[Satisfaction Guarantee][Consumer Safety Tips]
[Home Care Club Protection Plan][Testimonials]

Copyright © 1998-2005.