Installation must be performed by a certified installer and meet all requirements.Home TypePlease SelectSite BuiltManufacturedSectionsYear Built Square Feet Old Heating SystemPlease SelectBrand New HomeElectricly Heated FurnaceOlder Heat Pump SystemZonal Electric (baseboards, etc)Other / Not shownAir Conditioner?YesNoHeat Pump System InstalledPlease SelectMini-Split System (ductless)Central Heat Pump SystemGeothermal Heat Pump SystemMini-Split TypePlease SelectDuctless (wall / floor mount)Ducted (in ceiling mount)Combination of bothIndoor Units1234+Performance Tested Comfort SystemUnsure / NoWITH PTCS testingVariable Speed CompressorUnsure / NoYesCustomer InformationName First Last Account # Location Service Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email PhonePlease Upload Supporting Documents Drop files here or Select files Max. file size: 100 MB. 1. Invoices / Receipts with Model Numbers 2. AHRI Certificate and Compressor Spec Sheet 3. Pictures of previous heating system
