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Order If <br /> PRIORITY SERVICE/ SALES <br /> MAINTENANCE AGREEMENT <br /> CGuyl <br /> 4620 N.Hale Ave,Tampa FL 33614 <br /> 813-867-2800 727-231-5919 941-803-4450 <br /> A TRUSTED HOME SERVICES COMPANY. 24/7EMERGENCYSVC/CAC1813626/ACGUYZ.COM <br /> LICENSED/BONDED/INSURED/PROFESSIONAL <br /> Bill to Customer ?e� © ; /I/�e r�� Job Location <br /> Street ! l Street <br /> City State Zip ZB City State Zip <br /> Phone/Email f Phone/Email <br /> U E14 <br /> Brand Model# Serial# <br /> Brand Model# Serial# <br /> Brand Model# Serial# <br /> Brand Model# Serial# <br /> Heat Pump Straight Cool Split Package Ductless Other <br /> Tonnage SEER AHRI# Stage Variable Speed Zones <br /> Horizontal Vertical Location Gas Furnace JBTU IFlue <br /> Electric HTR -KW T-Stat Surge Protector Y N SH/SC/Pressure Readings <br /> Install Date By System Age System Condition New_Good_ Fair_ Poor_ <br /> Heat Loss/Heat Gain Load Calc Recommended Y_ N_ Ductwork Condition New_Good_ Fair Poor— <br /> Duct-Cleaning Needed Attic Insulation Drain Line Condition New_Good_ Fair_ Poor_ <br /> Electronic Air Cleane I UV Air Purifier Bulb <br /> AC GUYZ LLC MAINTENANCE AGREEMENT Y_ N_ Date Started / / Date Ending <br /> WARRANTY STATUS Filter Size X X Filter Size X X Filter Size X X <br /> REASON FOR SERVICE CALL <br /> QESG O { G RSG <br /> 1-YEAR MAINTENANCE AGREEMENT$19.95 MONTHLY OR$199.95 PAID IN FULL $ $ <br /> DIAGNOSTIC SERVICE CALL$59.95 WAIVED WITH REPAIR $ $ <br /> r $ $ <br /> r $ $ <br /> $ $ <br /> r $ $ <br /> UV $ s <br /> Is $ <br /> TOTAL INCLUDES FEES/SALES TAX TOTAL DUE UPON COMPLETION Is Bo Is <br /> CONSUMER FINANCE MONTHY FINANCE ESTIMATE$ <br /> CHECK/CREDIT CARD NUMBER EXP <br /> Card Name Signatur Date / / <br /> Customer Signature Date / / <br /> Customers signature above acknowledges the total due/maintenance agreement terms and conditions listed on reverse side. <br /> AC GUYZ Tech Name / Time in Time Out Total Time Date <br /> SERVICE COMPLETED/RECOMMENDATIONS/NOTES <br /> WARRANTY:PARTS_MONTHS COMPRESSOR_-MONTHS LABOR MONTHS EXCLUDES DRAIN LINE_Y_N <br /> =17glin,E A @E GRE EN ° E7E- a fl G R .Ai l <br /> _Priority Service Customer _Check for Proper Voltage/Amperage _Inspect Electrical Harness/Connections <br /> _Discuss Energy Reduction as Needed _Check Calibration of Thermostat _Inspect Contactors,Capacitors/Controls <br /> _Discuss Any Potential Safety Hazards _Check Filters,UV Bulb and IAQ Products _Inspect Wiring and Circuit Boards <br /> _Clean Coils IN PLACE-Once Yearly _Check Float Switch Operation _Inspect Transformers and Relays <br /> _Clean Out Debris from Outdoor Unit _Check Condensate Pump _Inspect Reversing Valve and Timers <br /> _Check Refrigerant Charge/Includes 2Lbs _Check/Clean Drain Line and Treat _Inspect Blower and Fan Motor <br /> Check Compressor Wiring/Amperage I Inspect Ductwork Connections/Fittings Inspect Blower Wheel and Fan Blades <br /> ©Copyright AC GUYZ LLC 2018.Logo/Design Service Mark <br />