- Please
fill out this form completely. When finished press the
"Print this FORM"
- and fax it to: (734) 367-2013
|
|
Your desired
appointment will be confirmed by phone. For Internet requests,
you should try to schedule an appointment at least one week in
advance!.
For emergency service please
call (734) 367-2000 |
| Appointment
for: |
Residential
Commercial (please
check one) |
| Regarding: |
New
air conditioning and/or furnace
Service
Call required
Preventative maintenance
~
air conditioning or furnace
Air
Duct
cleaning and sanitizing
|
| How
did you first hear about us?: |
Internet
search
Personal
referral
WDIV
TV
Yellow
Pages
Buyers
Guide
South
Lyon Buyers GuideRemodeling
New
Construction |
| * First
Name |
|
* Last
Name |
|
| * Address |
|
| * City |
|
|
Michigan |
| County |
|
* Zip |
|
| * Home
Phone |
-- |
Business Phone |
-- |
| Fax |
-- |
*E-Mail |
|
Please
describe
your requirements and let us know when the best time to contact
you: |
|
| 1st
Selection for an Appointment |
| * Day
of Week: |
|
*
Time of Day: |
|
| 2nd
Selection for an Appointment |
| * Day
of Week: |
|
*
Time of Day: |
|
|
Sam's Comfort Center,
Inc. / SCC Environmental (734) 367-2000
|