Annual Boiler Service Request

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Re: Annual Service - Boiler Equipment

We, the undersigned, hereby authorize you to carry out any required service to place our boiler in peak operating condition. We agree to purchase from you any required parts to accomplish this. We realize that you will schedule your representatives as closely as possible to our needs, but do understand that you must group a number of calls in a given area.

We prefer to have this service carried out during the month of —Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
And you will advise us in advance of your representatives’ call.

Check here if you accept above terms and conditions.

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Do you need a representative call to discuss controls and system efficiency enhancements?

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