K. E. Seifert, Inc. the professionals for all your plumbing and site development needs.

PREVENTIVE MAINTENANCE REQUEST

First Name:		Services Included With Agreement AC Equipment to be cleaned once a year Heating Equipment to be cleaned once a year Inspect gas components and venting Inspect electrical components and connections Inspect refrigerant components Replace or clean filters Clean condenser coil Keep equipment area clean Perform Carbon Monoxide evaluation of home
Last Name:
Home Phone:
Alt Phone:
Address1:
Address2:
City:
Zip:
Email:

Agreement Options (Check-Off Choices)

	(A) Full Preventive Maintenance (All Residential Systems)................................ Includes 2 inspections and tune-ups/year, 1 for heating, 1 for for cooling reduced prices for repairs	$229
	(B) Air Conditioning Maintenance Only................................................................ Includes 1 inspection and tune-ups/year, reduced prices for AC repairs	$129
	(C) Heating Preventive Maintenance Only.......................................................... Includes 1 gas heating inspection and tune-ups/year, reduced prices for heating repairs	$129

PARTS AND LABOR OPTIONS (Must be Combined with Maintenance option A, B, C)
Equipment Less Than 10 Years Old

	(D) Full System - Heater & AC or Heat Pump....................................................	$349
	(E) AC Only........................................................................................................	$179
	(F) Heater Only..................................................................................................	$179

ACCESSORIES AND EXTRAS

	(G) Attic or Roof Access.....................................................................................	$25
	(H) Electronic Air Cleaner or Media Filter (2x per year).......................................	$69
	(I) April Aire 501 Filter (1x per year)....................................................................	$89
	(J) April Aire 2200 or 2400 (1x per year).............................................................	$79
	(K) Humidifier (clean, sanitize, replace pad)........................................................	$35
	(L) Honeywell TruSteam in-line filter (required 1x per year)...............................	$76
	(M) PCO Maintenance Kit - filter, insert, 2 UV bulbs (requred 1x per year)........	$219
	(N) Extra filter (Standard 1" filter only).................................................................	$20
	(O) Oil Heat..........................................................................................................	$98
	(P) Geothermal heat............................................................................................	$189
	(Q) Hybrid System/Dual Fuel...............................................................................	$49
	(R) Condensate Pump.........................................................................................	$25