Annual Care & Maintenance Plan
Please complete the intake form below so our staff can follow up with you to schedule.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Pricing & System Details
Fill in the details to calculate your annual plan cost.
Number of HVAC Systems
*
Please Select
1
2
3
4
5+
System One
System Type
*
Please Select
AC + Gas Furnace
Heat Pump + Electric Furnace
AC + Electric Furnace
Unsure
Furnace Location
*
Please Select
Attic
Closet
Crawlspace
Garage
Roof
Other
Approximate Age
*
Please Select
Under 5 years
5 to 10 years
Over 10 years
System Two
System Type
*
Please Select
AC + Gas Furnace
Heat Pump + Electric Furnace
AC + Electric Furnace
Unsure
Furnace Location
*
Please Select
Attic
Closet
Crawlspace
Garage
Roof
Other
Approximate Age
*
Please Select
Under 5 years
5 to 10 years
Over 10 years
System Three
System Type
*
Please Select
AC + Gas Furnace
Heat Pump + Electric Furnace
AC + Electric Furnace
Unsure
Furnace Location
*
Please Select
Attic
Closet
Crawlspace
Garage
Roof
Other
Approximate Age
*
Please Select
Under 5 years
5 to 10 years
Over 10 years
System Four
System Type
*
Please Select
AC + Gas Furnace
Heat Pump + Electric Furnace
AC + Electric Furnace
Unsure
System Location
*
Please Select
Attic
Closet
Crawlspace
Garage
Roof
Other
Approximate Age
*
Please Select
Under 5 years
5 to 10 years
Over 10 years
System Five
System Type
*
Please Select
AC + Gas Furnace
Heat Pump + Electric Furnace
AC + Electric Furnace
Unsure
System Location
*
Please Select
Attic
Closet
Crawlspace
Garage
Roof
Other
Approximate Age
*
Please Select
Under 5 years
5 to 10 years
Over 10 years
I want to purchase my filter replacements from DFW HVAC.
*
Yes, bring them to my maintenance appointment.
No, I will supply my own replacements.
System One Filter Size (EX: 20x25x4)
System Two Filter Size (EX: 20x25x4)
System Three Filter Size (EX: 20x25x4)
System Four Filter Size (EX: 20x25x4)
System Five Filter Size (EX: 20x25x4)
5+ Systems Requires Custom Pricing.
Complete the form and our team will contact you with detailed pricing. You can also call use at (972) 777-2665 and speak with our team now.
Annual Plan System Maintenance Cost $
Additional Cost for Replacement Filters $
Only applicable if you selected "Yes, bring them to my maintenance appointment."
Total Cost of Annual Maintenance + Replacement Filters $
Replacement Filter Cost only applicable if you selected "Yes, bring them to my maintenance visit" above.
Any Known Problems, Comfort Concerns or Noises?
Annual maintenance if intended to keep operational equipment maintained. Each maintenance visit has a predefined amount of time allocated to each system under service. If equipment is found to have a problem our technicians will do their best to remediate the issue, but may need to schedule a return visit depending on the amount of time required for diagnosis and repair.
Logistics
Help us ensure a smooth visit.
Gate/Entry Codes or Instructions (if any)
Are there pets on site?
*
Yes
No
Scheduling
Select your best service dates and times below and our staff will call to finalize the appointment and answer any questions.
Primary Peferred Service Date
*
-
Month
-
Day
Year
Date
Preferred Time Window
*
Please Select
Morning (8am-12pm)
Afternoon (12pm-4pm)
Secondary Preferred Service Date
*
-
Month
-
Day
Year
Date
Secondary Preferred Time Window
*
Please Select
Morning (8am-12pm)
Afternoon (12pm-4pm)
DFW HVAC Maintenance & Service Agreement
Please read and sign to complete your plan enrollment.
I understand I will be invoiced for the annual maintenance program cost after my first visit.
*
Yes
I want to receive text messages and alerts for my service appointments.
Opt-In
Please read our
Terms and Conditions
before signing.
I have read and agree to the terms and conditions.
*
Yes
Signature
*
Confirm Purchase
Confirm Purchase
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