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' Installation Work Order Est.Start Date t <br /> / Est.Completion Date <br /> • • ( (727) 588-4200 or(813) 282-3737 Corporate Custer <br /> : 3340 N.Scherer Drive,Suites A&B,St Petersburg,FL 33716 P <br /> Making it right. American Residential Services of Florida,Inc.License# CMC1249753, Relations <br /> Making it work• CFC1428283,EC13008558 (866)803-0879 <br /> CUSTOMER ✓ ` O^ 0-! EMAIL CALL SLIP <br /> ADDRESS G/ �� `Ti CITY/STATE/ZIP �J ' IJ � � �3 r[�� 1 <br /> HOME PHONE O/� n r� ✓� CELL PHONE !i �J WORK PHONE J 7 <br /> a OPTION <br /> • IO OPTION 2 OPTION <br /> SIZE 0 �G� TYPE CAN4r L-,I— %ZECd-•0T�^� TYPE n� IZE�.o 7 TYPE <br /> EFFICIENCY ��r s'G� IENCY l� 'C- EF IENCY °I SAP S• �- <br /> PA 0 K �i01Y- P . a o e c ,,d $ tf� .o <br /> $ $ $ <br /> $ $ $ <br /> SUBTOTAL $ SUBTOTAL SUBTO AL <br /> MONTHLY EST.* $ MONT EST.* $ MO HLY EST.* $ <br /> CUSTOMER INITIALS S•iY1 CUS OMER INITIALS C STOMER INITIALS <br /> Warranty:**- Parts 1 Labor arranty:*' I Parts Labor Warranty:' Parts Labor <br /> Compressor Heat Exchanger I'0 Compressor � Heat Excha er Compressor Heat Exc ger <br /> *Subject to credit approval.Financing Provided by Greensky.Fixed interest rate of 6.99%for 60 months.Payment example assumes one-time$7,500 purchase on <br /> approval date(APR 7.19%)with <br /> 1 payment of$B2.69,5 payments of$43.69,and 54 amortized payments of$162.28.Payments assume Account Activation charge of$39 applies and is due with <br /> first required payment.Fxed interest rate of 9.99%for 84 months.Payment example assumes one-time$7,500 purchase on approval date(APR 10.15%)with <br /> 1 payment of$101.44,5 payments 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.Fixed interest rate of 9.99%for 120 months.Payment example assumes one-time$7,500 purchase on approval 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 payment.Fixed interest rate of 9.99%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 YOUR . SELEOTED OPTION: ❑2 ❑3 <br /> 'KWeatherproof WReconnect Drain Line ❑Dehumidifier SUBTOTAL $ S , m <br /> isconnect Ceiling Saver Kit �utdoor Unit Pad <br /> ifetime Equipment Slab (Pan&Float) [I Flue Venting $ <br /> Sound Isolation Pads ain Drain Safety Switch uctwork Connections' <br /> ❑Liquid Tite Conduit ❑Seal New Connections Connect to existing plenum $ <br /> ❑Start Kit ❑Support Attic Equipment ❑Duct Modifications � ��� <br /> El Refrigerant <br /> Refrigerant L.L.Dryer_' Supply Plenum (see Notes for scope of work) T h <br /> ❑Refrigerant Pipe rr-11P New Reconnect ❑New Duct System <br /> ❑New ❑Reconnect ®Return Plenum I Duct Work <br /> ❑RefrigmanLPlif ver !!!��`❑New KIReconnect ElFuel Piping <br /> xpansion Val a Electronic Air Cleaner_ ❑Electrical Wiring ❑C CHECK# <br /> 19T-stat-T a ❑Media Filter ❑Home Service Plan- <br /> YP (J �y <br /> �ngg ❑PCO 1 Term(364 days) CREDIT CARD(LAST 4#s) <br /> lectrical ❑UV Light <br /> ❑New Plywood Deck ❑Humidifier X VAL <br /> OUR , . <br /> ❑FINANCING* <br /> omfort Guarantee ' me Protection Guarantee <br /> 24-Hour Service Guarantee 00%Unconditional Money-Back Guarantee <br /> NOTES <br /> tARS 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 hereof for an explanation of this right. <br /> •I acknowledge that my right to cancel has been explained to me orally and in writing,and without waiving my right to cancel,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 completion. <br /> Notice To Owner•Do not sign this home improvement contract in blank.You are entitled to a copy of the contract at the time you sign. <br /> Keep it to protect your legal rights.This home improvement contract may contain a mortgage or otherwise create a lien on your property <br /> that uld be foreclosed on if you do not pay.Be sure you understand all provisions of the contract befor In. <br /> 6 / w- <br /> U MER SIG ATURE D CO PANY REPRESENTATIVE <br /> ,7111 <br /> CUSTOMER SIGNATURE DATE � /DATE <br /> 2019 American Residential Services LLC.All rights reserved. ARS1078_FL_190124 L790124 8278 <br />