Comfort Central Extended Warranty First name M. I. Last name Home Address City State Zip Code: Home phone# mobile# Email: Do you presently have a service contract with Comfort Central?   yes    no  Date that present contract will end If yes, please type in the present contract number What length of an extended contract do you wish to sign up for?   1 year extended    2 year extended    3 year extended  What type of equipment do you want to place under extended warranty?   Pool heat pump    Air conditioning   If pool heater,  Please type in manuf name and model number   Please type in ser# of pool heat pump  equipment How old is the pool heat pump equipment? If Air conditioning equipment,  please type in manuf name and mod#: Please type in ser# of Air conditioning equipment How old is the air conditioning equipment?

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