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�^- I r Installation Work Order Est.Start Date <br /> Est.Com letion Date0-0721. (727)588 4200 or(813)282 3737 p <br /> 3340 N.Scherer Dr ve,Suites A&B,St Petersburg,FL 33716 Corporate C <br /> it work.Making it right gmedran Residential Services of Florida,Inc License#CMC7249753, Relations, <br /> Making CFC1428283,EC73008558 (866)803-06, <br /> CUSTOMER EMAIL CALL SLIP <br /> ADDRESS CITY/STATEop <br /> HOME PHONE .�- CELL P NE WORK PHONE <br /> OPTION I OPTION 2 OPTION <br /> SIZE TYPE 5� SIZE TYPPEE y+�g� SIZE TYPE <br /> E IENCYTI FICIENCY �` 7 �i` EF CIENCY <br /> $ r�O{� $ a/7i $ <br /> $� $ $ <br /> UBTOT L SUB OTAL $ SUBTOTAL <br /> MONTHLY EST.' $ MO THLY EST.' $�� MONTHLY EX. <br /> ' $ <br /> CUSTOMER INITIALS C TOMER INITIALS CUSTO R INITIALS <br /> arr Part Labor ar nty:"--W—Part Labor W ranty:" Parts Labor <br /> ompre sor Heat Exchan r 1./.J)Compressor Heat Exchanger Compressor Heat Ex anger <br /> •Subjec credit app val.Financing Provi y Greensky.Fixed interest rate of 6.99%foj 60 months.Payment example assumes one-time$7,500 purchase on <br /> approval (APR 7.1 with <br /> 1 payment o 2.69,5 pay 4 9,and 54 amortized payments of$162.28.Payments assume Account Activation charge of$39 applies and is due with <br /> first required pay nl.Fixed interest r of 9.99%for 84 months.Payment example assumes one-time$7600 purchase on approval date(APR 10.15%)with <br /> 1 payment of$101. a of$62.44,and 78 amortized payments of$131.11.Payments assume Account Activation charge of$39 applies and is due with <br /> first required payment.Fixe interest rate of 9.994b for 120 months.Payment example assumes one-lime$7,500 purchase on approved date(APR 10.11%)with <br /> 1 payment of$101.44,5 payments of$62.44,and 114 amortized payments of$102.13.Payments assume Account Activation charge of$39 applies and is due <br /> with first required paymenl.Fued interest rate of 9.994b for 144 months.Payment example assumes one-time$7,500 purchase on approval date(APR 10.09%)with <br /> 1 payment of$101.44,5 payments of$62.44,and 138 amortized payments of$91.62.Payments assume Account Activation charge of$39 applies and is due <br /> with first required payment. - <br /> "Unless otherwise noted,all warranties are from the manufacturer. <br /> SPECIFICS OF • •,pWSELECTED OPTION: 1 ❑2 ❑3 <br /> eatherproof [I Reconnect Drain Line ❑Dehumidifier SUBTOTAL $ <br /> Disconnect ❑Ceiling Saver Kit ❑Outdoor Unit Pad <br /> ❑Lifeti a Equipment Slab (Pan&Float) El Flue Venting $ <br /> ound Isolation Pads ❑Main Drain Safety Switch ❑Ductwork Connections' <br /> ❑Liquid Tite Conduit ❑Seal New Connections ❑Connect to existing plenum <br /> ❑Start Kit ❑Support Attic Equipment ❑Duct Modifications $ <br /> ❑Refrigerant ILL.Dryer_ ❑Supply PI (see Notes for scope of world TOTAL $ <br /> ❑Refrigerant Pipe ❑New econnect ❑ e Duct System <br /> ❑New ❑Reconnect ❑Return o Duct Work <br /> ❑Refri erant Pipe Cover ❑New Reconnect iping <br /> ansio I e ❑BectroniCleaner_ ❑Electrical Wiring ❑CASH ❑CHECK# <br /> T-siat—T - ❑Media Filter ❑Home Service Plan— <br /> ❑Connect to Existing ❑PCO 1 Term(364 days) ❑CREDIT CARD(LAST 4#s) t� <br /> Electrical ❑UV Light <br /> ❑New Plywood Deck ❑Humidifier EXP APPROVAL <br /> CING' <br /> Co ort Guarantee OUR GUARANTEES ome faction Guarantee I <br /> V-EF24-Hour Service Guarantee /o Unconditional Money-Back Guarantee <br /> NOTES <br /> o�t <br /> 'ARS is not responsible for preexisting ductwork See Terms and Conditions on the back of this document for details. <br /> •Written customer authorization will be obtained before beginning any unforeseen additional or extended work. <br /> •ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558,FLORIDA STATUTES. <br /> •BUYER'S RIGHT TO CANCEL:This Is a home solicitation sale,and if you do not want the goods or services,you may cancel this agree- <br /> ment by providing written notice to the seller In person,by telegram,or by mail.This notice must indicate that you do not want the goods <br /> or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement If you cancel <br /> this agreement,the seller may not keep all or part of any cash down payment See the reverse side h o for an explanation of this right <br /> •I acknowledge that my right to cancel has been explained to me orally and in writing,and with waiving my ri t to cal,I authorize the performance,of <br /> the work,subject to all terms and conditions set forth on the reverse side hereof,plus any taxes upon comple' n. <br /> Notice To Owner-Do not sign this home improvement contract in blank.You are entitled to a p the contract t ime you sign. <br /> Keep it to protect your legal rights.This home improvement contract may rnntain a mortga otherwise eate n your property <br /> that could be foreclosed on if you do not pay.Be sure you understand all provisions of t o <br /> R46d4 � <br /> �rOMER SIGNATURE DATE COMPANY REP SENTATNE <br /> CUSTOMER SIGNATURE DATE PATE <br />