What type of space do you need to hear and/or cool?

Whole house

Specific room(s)

Which energy source do you want to use to heat your home?

Electric only

Electricity & natural gas/propane

What type of system would you like in your home?

Heat pump split system (electric heating/cooling)

Air conditioner only (cooling only)

Packaged system (electric heating/cooling)

Packaged system (cooling only)

Furnace/air conditioner split system (gas heating/electric cooling)

Furnace/heat pump split system (hybrid heating/electric cooling)

Furnace only (heating only)

Packaged system (gas heating/electric cooling)

Packaged system (hybrid heating/electric cooling)

How long do you expect to stay in this home?

Less than 2 years

2-5 years

6-10 years

Over 10 years

Are you interested in the advantages of a hybrid geat dual fuel system?

Yes

No

Are you interested in a variable speed system?

Yes

No

Please choose the OUTDOOR sound level that best fits your needs:

Quietest - less on/off cycling

Quieter operation

Quietest operation

Please choose the INDOOR sound level that best fits your needs:

Variable speed (whisper volume)

2-Speed (conversation volume)

Single speed (slightly above conversation)

What level of system efficiency are you interested in?

Premium

Best

Better

Good

Would you like to manage your financial risk with an extended warranty?

Yes

No

Would you be interested in an annual service agreement to protect your system?

Yes

No

Please choose the level of thermostat functionality you are interested in:

Premium

Best

Better

Good

Would you like your system to have a humidifier to maintain comfortable, energy saving humidity levles during the dry heating months?

Yes

No

Would you like your system to effectively control humidity for greater comfort, better air quality, and lower energy bills?

Yes

No

Please select the level of air filtration that best fits your needs:

Premium

Best

Good

Would you like the bring fresh air and exhaust stale air without the wasted energy and discomfort of an open window?

Yes

No

Would you like to minimize the spread of microbes, bacteria and viruses throughout your home?

Yes

No

Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you an existing customer?

Yes

No

When can we contact you?

Daytime

Evening

Anytime