Request for Heating or Cooling Estimate

    First Name/Last Name*

    Street Address*            

    Address2   

    State*

    Zip Code*

    Telephone*

    Email Address*      Example: username@yourisp.net

I would like information returned by Email    Phone   Postal Mail

* Fields marked with an asterisk are required 

    I would like to receive an estimate for...

    Furnace    Gas    Oil    Electric    Solid/Multi-fuel

    Air-conditioning        Heat pump

    Estimate for Humidifier                 Air cleaner           Heat Recovery Ventilator

Please supply the following information so we can properly determine the heat and cooling loads on the equipment.
The accuracy of the information you supply will determine how well the equipment is matched to your building.

Square footage (length times width) of the building or area to be conditioned =

Primary construction of the building is Wood, Brick, Block        Vinyl or Aluminum siding? Yes    No 

Number of heated floors excluding basement =

Is basement heated? Yes    No

Outer walls are insulated? Yes    No    Number of inches of insulation = or R factor

Attic is insulated? Yes    No    Number of inches of insulation = or R factor

Number of normal sized windows (exclude patio doors, or picture, and bay windows) =

Number of patio doors, bay/bow and picture windows =

Insulated / Double pane Glass? Yes    No        Low E Glass? Yes    No    

Is there an attached garage? Yes    No     Is it Heated? Yes    No     Number of garage doors =

Number of people commonly occupying the building =

Is this Replacement of an existing system  or New Construction?