Service Club Membership Residential

Form
Service Club Membership Agreement
Service Contact Name*

First NameLast Name
Date*

MonthDayYear
Date
Service Contact Email*
example@example.com
Service Contact Phone Number*
Please enter a valid phone number.
Service Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Billing Contact

Same as Service Contact
Billing Contact (if different from Service Contact)

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Service Club Membership*
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Evaporative CoolerOur Evaporative Cooler Service Club Membership gives you two visits per year; one visit in the spring to summerize your Evap Cooler and one visit in the fall to winterize your Evap Cooler.
$300.00 # of Units to Service



Furnace (Please indicate number of units)Our Furnace Service Club Membership gives you a full cleaning, inspection, and tune up of your furnace unit to ensure your unit is working safely and efficiently all winter long.
$220.00 # of Units to ServiceService Type



Air Conditioner (Please indicate number of units)Our Air Conditioning Service Club Membership gives you a full cleaning, inspection, and tune up of your A/C unit (indoor and outdoor) to ensure your unit is working safely and efficiently all summer long.
$250.00 # of Units to ServiceService Type



Furnace and A/C (Please indicate number of units)
$350.00 # of Packages (1 AC & 1 Furnace = 1)Service Type



Total

$0.00
Signature*

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Date*

MonthDayYear
Date
Authorization to enter into contract.

I understand that by e-signing this document I am agreeing to the terms and conditions of this contract as well as receipt of Service Club Membership online document (www.communitymechanical.com/service-club) explaining services rendered for scheduled billing; once signed this will be a legally binding agreement for 12 calendar months from the date of this contract, Customer can cancel anytime. As such, I understand the yearly billing costs as well as the services rendered under this contract. Community Mechanical Services, llc. will provide HVAC Service checklists by way of PDF document of services rendered based upon Service Club Membership. I promise to pay in a scheduled net 10 from services rendered and give permission to take legal action if payment is not fulfilled within 10 days of initial invoice delivery. Finally, I have waived my rights to combat any service pricing as agreed upon within this contract for services rendered within the Service Club Membership and understand all benefits and have asked all pertinent questions relating to this agreement, scheduled billing, and services in return for scheduled billing.
I have read the above Authorization*

First NameLast Name
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Form

Service Club Membership Agreement