Mini Split Installation Credit Redemption Form
Complete this form to receive an installation credit
Mairaca.com order number
*
Installation Address
Street Address
Street Address Line 2
City
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State
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Texas CZ Lookup
Installation Type
New construction, split heat pumps
Replace-on-burnout, split heat pumps
Early retirement, split heat pumps (manufactured 1/1/2015 through 12/31/2022)
Early retirement, split heat pumps (when applying default age)
Early retirement, heat pumps (manufactured 1/23/2006 through 12/31/2014)
Early retirement, heat pumps (manufactured before 1/23/2006)
Early retirement, electric resistance furnace
Take Photo of the Electric Meter
*
Take Photo of the Indoor Wall Unit
*
Take Photo of the Wall Unit Sticker with model and serial number
*
Take Photo of the Outdoor Compressor
*
Take Photo of Outdoor Unit Sticker with model and serial number
*
Signature
*
Submit
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