ContractProtection Plan Agreement • September 14th, 2016
Contract Type FiledSeptember 14th, 2016Protection Plan Agreement Purchaser Equipment Location Name Name Street Address Street Address City State Zip City State Zip Phone (Day) Phone (Evening) Phone (Day) Phone (Evening) Cell Phone Email Cell Phone Email Best Number To Reach For Scheduling(Please Circle) Day Evening Cell Best Number To Reach For Scheduling(Please Circle) Day EveningCell Maintenance Plan Plan: A (Good) B(Better) C(Best) D(Fantastic) (See Back For Details) Number of ServiceInspections Per Year: StartDate End Date Equipment Covered EquipmentType Brand Model Number Serial Number ApproximateAge Filter Size Payment Options The annual cost for your Protection Plan will be $ payable monthly by automatic credit cardwithdrawal, or you may pay the full annual amount in advance I understand that my agreement shall be automatically renewed each year, my monthly investment will be charged in the