Please Enter Your Information, To Purchase A
Residential Annual Preventative Maintenance Agreement,
With Your Credit Card,
Fill In the Information Below and Press Submit Button.
Annual Residential
Preventative Maintenance Agreement (PMA)
Credit Card Purchase Entry Form
Your First Name:
Your Last Name:
Street Address:
2nd St Address:
City:
State:
Zip Code:
Home Phone Number:
Work  Phone Number:
Cell Phone Number:
Your E-mail Address:
I am Purchasing a Annual Residential
Preventative  Maintenance Agreement, (PMA).

$139.95 for Air Conditioning Systems,

$179.95 for Heat Pump Systems,

(IF REFRIGERANT IS NEEDED,
AN ADDITIONAL CHARGE WILL APPLY, PLUS TAX.)
Quantity of Air Conditioning Systems:
Located on Roof, In Crawl Space or Attic?:
Quantity of Heat Pump Systems:
Located on Roof, In Crawl Space or Attic?:
Please Enter Your Credit Card Information.
(American Express not Accepted).
Type of Credit Card:
My Credit Card Number:
(example:  01/08)
Expiration Date:
CVV2 Number:
Do You have questions or comments?
Comments: (Example:)
Request to purchase an
Annual Preventative
Maintenance
Agreement  for 2019.

IF YOU PREFER TO MAIL YOUR ANNUAL PMA PAYMENT
(Credit Card, Check or Money Order)

PRINT A PMA SIGN-UP FORM





FILL OUT PMA FORM AND MAIL TO:

Affordable Cooling & Heating Service
524 NW 65th Ter
Kansas City, MO  64118

CLICK HERE
for
PMA FORM
Affordable Cooling & Heating Service Reviews Screened and Approved
Heating & Furnace Contractors in Kansas City
WE ACCEPT:  PERSONAL CHECKS,
CASH & CREDIT CARDS.
AFFORDABLE COOLING & HEATING SERVICE
A Company You can Trust with
Your Whole House.
Refer Us to Your Friends &
Neighbors !