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519 204 8080

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519 204 8080

Sales Form Quote

CONTACT

Full Name(Required)

Address(Required)

City

Province

Postal Code

Email(Required)

Financing Approval #

Home Phone (#)

Cell Phone (#)

Work Phone (#)

Date

Comfort Advisor

Requested Install Date

PRODUCTS OR SERVICES

Qty.

Product #

Description

Cost

Qty.

Product #

Description

Cost

Qty.

Product #

Description

Cost

Qty.

Product #

Description

Cost

Qty.

Product #

Description

Cost

Qty.

Product #

Description

Cost

Qty.

Product #

Description

Cost

WARRANTIES

Years Parts

Years Heat Exchanger

Years Labour

Years Compressor

SUBTOTAL

CALCULATED SUBTOTAL

HST

CALCULATED HST

LESS DEPOSIT

TOTAL OWING ON INSTALLATION

CALCULATED TOTAL OWING ON INSTALLATION

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Thermostats, Humidifiers and Condensate Pumps —

Years Parts & Labour Warranty

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*Labour warranty protection requires annual service of equipment.

PAYMENT

Payment

Cheque

Cash

M/C

Visa

Cheque Number (#)

Name of Cheque/Card Holder

Card Number

Amount

Expiry Date

SPECIAL NOTES REQUIRED FOR INSTALLATION

Special Notes

BUYER’S ACCEPTANCE

Consent(Required)

I agree to the privacy policy.I have read the Terms and Conditions and agree to purchase the above mentioned equipment from Orzech Heating and Cooling, a div. of Perfect Temp Inc. I agree to pay upon presentation of an invoice after installation is completed.(Required)

Customer Signature