New Membership Questionnaire
After viewing our membership details at https://www.buddsplumbing.com/membership please answer the following questions.
Name
*
First Name
Last Name
Property address where membership will be needed.
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Were you referred over by an existing client of ours? If so, please list their name here.
Which Package are you interested in?
*
Please Select
Silver
Gold
Platinum
Do you have a tanked or tankless water heater?
*
Please Select
Tanked
Tankless
Would you like a tanked water heater flush add on for $6 a month?
*
Yes
No
Would you like a tankless water heater flush add on for $13 a month?
*
Yes
No
How many HVAC condensers do you have? Each additional unit is $18 per month.
*
Do you have a boiler?
*
Please Select
Yes
No
Would you like a yearly boiler cleaning? This cost is an additional $13 per month.
*
Yes
No
Would you like your whole home winterized in the fall and turned on in the spring? This is an additional $45 per month.
*
Yes
No
Would you like your exterior fixtures winterized such as outdoor bathrooms, showers, and hose bibbs? This is an additional $24 per month
*
Please Select
Yes
No
By checking off "I agree" you authorize Budd's Plumbing to send text messages with offers and other promotion to the number you provided. Message/data rates apply. Consent is not a condition of purchase.
I Agree
Submit
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