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:
Zip Code:
City:
State:
Home Phone Number:
Work  Phone Number:
Cell Phone Number:
Your E-mail Address:
I am Purchasing An
Annual Residential Preventative  Maintenance Agreement,
(PMA).

$139.95 for Air Conditioning Systems,
With 1 LB R-22 Refrigerant.

$179.95 for Heat Pump Systems,
With 1 LB R-22 Refrigerant.

(IF ADDITIONAL 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.
Type of Credit Card:
(American Express not Accepted).
My Credit Card Number:
Expiration Date:
 (example:  01/08)
CVV2 Number:
Do You have questions or comments?
Comments: (Example:)
Request to purchase an
Annual Preventative
Maintenance
Agreement  for 2015.

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

PRESS THIS (BLUE CLICK HERE Button)
TO PRINT A PMA SIGN-UP FORM





SIMPLY, FILL OUT THE FORM AND MAIL IT TO:

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

CLICK HERE
for
PMA FORM

CLICK HERE
for
PMA FORM
Affordable Cooling & Heating Service Reviews Screened and Approved
Heating & Furnace Contractors in Kansas City
WE ACCEPT
CREDIT CARDS,


PERSONAL CHECKS
& CASH
For More Information. About PMA's
Call:   (816) 468-1509
AFFORDABLE COOLING & HEATING SERVICE
A Company, You can Trust with
Your Whole House,
Not Just Your House Keys
&
You can Refer us to All of
Your Friends & Family !