Princeton Air Conditioning Inc.

Type of Service Requested

Repair
Preventive Maintenance
Certification
Duct Cleaning
Accessory Installation
Other

Please elaborate and provide desired dates and times

I currently have a Preventive Maintenance Agreement with PAC Yes No

Tell us about your comfort equipment.
I have the following in my home:
Click all that apply

APPLIANCE	QUANTITY	AGE (IN YRS)
Air Conditioning
Gas Furnace
Oil Furnace
Gas Boiler
Oil Boiler
Heat Pump
Flow-Through Humidifier
Reservoir Humidifier
Atomizing Humidifier
Set-Back Thermostat
Programmable Thermostat
Media-Type Air Filter
Electronic Air Filter
HEPA Air Filter
UV Bulb
De-Humidifier
Heat Recovery Ventilator
Energy Recovery Ventilator

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Last Name
Spouse First Name
Address
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Mobile Phone
Best Time To Call

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