Heating/Hoarding Order Form

Name of Builder*

Site Supervisor *

First NameLast Name

Phone Number*

Please enter a valid phone number.

Supervisors E-mail *

example@example.com

Service Address*

Street Address

Street Address Line 2

City

Expected install date? (install dates are not guaranteed. We will do our best to work with you to install on date requested. For propane heating, allow at least 3 days for install)

Date

Where do you want the heaters installed?*

Basement FloorGarage FloorOther (explain in "Special Instructions")

How many heaters would you like installed? *

If more than 3 please explain where in special instructions.

Type Of Fuel Needed*

Natural GasPropane

Is there electricity?*

YesNo

Panel or Generator?*

PanelGenerator

Will these heaters need to be moved to the garage after?*

YesNo

Special Instructions?

Please note that we try to get the heaters to the operation stage 48-72 hours (business days) after the order. If propane has to be ordered, that delays the process up to 5 days.

We will try our best to get last-minute orders in, but we can not guarantee any immediate installs with less than 2 days' notice. The more notice you give us, the happier we can make you.

Thanks for understanding.

Fresco Solutions