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Mid-American Service Agreement and Annual Maintenance

Name:
Address:
City:	State:		Zip:
Home Phone:		Work Phone:	Email:

* Pays For Itself In Energy Savings !
* Preferential Service
* Special Value Rate Discount On All Repairs
* Transferable To New Owner

* Ensure Longer Equipment Life
* $25 Off Emergency Calls
* Inflation Proof: Up To 3 Years At Reduced Prices !
* Pre-Scheduled Service

Furnace:
Clean & Check - One inspection yearly

Furnace Model #
Furnace Serial #
Furnace Model #
Furnace Serial #

Air Conditioner Information:
Clean & Check - One inspection yearly

AC Model #
AC Serial #
AC Model #
AC Serial #

Furnace Only:

1 yr: $125.00 2 yr: $225.00 3 yr: $300.00

A/C Only:

1 yr: $125.00 2 yr: $225.00 3 yr: $300.00

Furnace and A/C:

1 yr: $199.00 2 yr: $349.00 3 yr: $499.00

Humidifer:
Clean & Check - One inspection yearly with filter replacement.

Humidifer Model #

Air Cleaner:
Filter Replacement, model specific.

Air Cleaner Model #

Humidifer: $50.00
Air Cleaner: $TBD (Model Specific)
Water Heater: $45.00
Each Additional Piece of Equipment (Except Boilers) Maintenance: $65.00
Each Additional Piece of Equipment (Boilers) Maintenance: $81.00