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�� Conservation Serving Florida <br /> "Helping Conserve Energy & Save Money� Toll Free: 877-503-HEAT <br /> www.stateenergy.net <br /> Job Location: OPTIONS <br /> Name: ��y�� � G .�n{ � > Home Phone ��� -;S�r��j�r.� Hurricane Package <br /> Address: �:� ��,a-� •�.�, ,�, wor�c Pnone: Signature Plumbing <br /> ��ry: � ',,_ �,�y�, t�; zip: -�-�< (�� Ceu#: ��., � y _ �� ��- Self-draining Systems <br /> Subdivision: Email: �: AUtO COrltt'OI <br /> � ��v� (lt y ,...t <br /> � PV <br /> S4:r-�� v�--2.. <br /> Solar Panel (Type)��,.,�,�� Plumbing Type ��yr..w1'�"� <br /> Number of Panel � Panel Size %L%� � Pool Area Screened <br /> �� Open <br /> Purifier /�Ij� Pool Cover /t`J�� <br /> Roof `����� <br /> � 1 Story 2 Story Spa Cover '�✓/� ~_B;�Se�st2�n � � �� � <br /> ;, „r'�,c I�E-. <br /> �Shingle Tile Other Tank Size �-�� <br /> , ; <br /> Additional Comments _���r,.�,';.� j„j�; (�c�� �-'.�,�-�Z,.t- �� `s�� <br /> (/, � ��j(�� j ' � <br /> jlil.n�+1,T�. i"J�G"w�n °•� ��l�C l rn�,'l!'� <br /> � � • <br /> POOL PERFORMANCE GUARANTEE <br /> STATE ENERG SERVATION has designed your pool heatin o add 10 degrees(F) <br /> minimum to the temperature o ool to keep your pool tem at 80 degrees (F)or higher from <br /> approx 03/15 to approx 11/01. <br /> You�performance guarantee is based on ast 20 y of weather and your pool temperature will go up Total InveStment ( � C� �� <br /> or down as the average weather i ses or decreases.Your ormance guarantee also assumes the use s �� <br /> of a pool cover <br /> 90 Day Guara , if within 90 days of the above stated pertormance guaran of your system,we have Deposit � <br /> not met th ve stated performance,we will modify the system to meet the perfo guarantee at no <br /> addi" cost to you. If we cannot meet the performance guarantee, we will refund 100 o ur original <br /> estment. <br /> Balance Due � f �� � <br /> BUYER'S RIGHT TO CANCEL:If this is a home solicitation sale,and you do not want to purchase these On Completion � <br /> goods and services, you must cancel this agreement by providing written notice by United States Certified <br /> Mail,Return Receipt Requested to State Energy Conservation,3999 W. 1st Street,Sanford,FL 32771.This Approx. Monthly <br /> Cancellation Notice must be of clear intent,written in English, and postmarked before midnight of the third Investment Upon <br /> business day afte�you sign this agreement. For the purposes of this agreement and notice a"Business Day" Approved Credit <br /> shall include the days Monday through Saturday,but shall not include Sundays or any legal holiday on which <br /> the U.S Postal Service does noi deliver. @ Primary L2nder <br /> I HEREBY ACKNOWLEDGE THAT I HAVE READ THE FOREGOING AND AGREE TO THE TERMS THEREOF. <br /> � / <br /> �_ � Payment Type -�j�/•��nL ,� <br /> Buyer . Date ' <br /> 'j � " _ r'' <br /> � — -/..�� Terms ��_ .�T i �- <br /> Buyer . � Date <br /> 1�i��'s r�?�' � � � � � Desired Installation Date <br /> Stat E y Conservation Representativ D e <br /> State Certified CFC 027524 CVC 56939 <br /> This contract represents the entire agreement buyer and seller and is binding when accepted by an officer of State Energy Conservation for 30 days. 9ns <br />