Back End Request Form
Please fill out the form below. All fields are required.
Your Full Name
*
Your Work Email
*
example@example.com
Question
*
ROADIE: What is the ETA on part?
EQUIPMENT STOCK: Is this unit in stock?
TRUCK STOCK: Is this on my truck?
WARRANTY: Unit under Manufacturer warranty?
CRANE INFO: Need crane.
PRICING: Need cost of non-Lennox unit.
PART SPECS: What is size/specs of Parts?
AGE: How old is this unit?
FIT: Will it fit?
AVAILABILITY: When can we get part/unit?
FLEET: Fleet request
OTHER: Other
Customer #
*
Brand
*
Model Number
*
Existing Model Number
*
Serial Number
*
Existing Serial Number
*
Did Four Seasons install the unit?
*
Yes
No
When was the last cleaning performed?
*
-
Month
-
Day
Year
Date
Description of Part
*
Where are you currently?
*
On my way to customer
Already on site
What part are you expecting?
*
Please input any models you are inquiring on
*
Model Number
Serial #, if applicable
A/C
Coil
Furnace
Air Handler
Boiler
Accessory
Rooftop
Other
How many stories, or approximate height?
*
Distance from street or alley to building?
*
How far from the edge is unit located? (ft.):
*
Type of Unit
*
Lennox AC
Other Residential AC
Package Rooftop Unit
Where will crane park?
*
Street
Alley
Parking Lot
Street Closure Needed?
*
Yes
No
Are there any obstructions? (overhead electrical wires, trees)
Be specific
Date crane is needed?
*
-
Month
-
Day
Year
Date
What type of unit?
*
Furnace
AC
Coil
Air Handler
What space are you trying to fit in?
*
Attic
Crawl
Plenum
Closet
Cubby Hole
Dimensions of Space/Openings
*
Dimensions, in inches
Height
Width
Depth
If attic, from opening to bottom of joist
Truck Number
*
Fleet Request:
*
Truck Issue
Need an Oil Change
Need a Tow
Gas Card Not Working
Fleet Issue
*
Noise
Wont Start
Broken Into
Locked Keys In Vehicle
Flat Tire
Lights Not Working
Damage
Brake Issues
Other
Current Mileage
*
Current Location
*
Description of Location, and why do you need a tow?
*
Pin Number
*
Card Number
*
Other notes or questions
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