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Name:                       Phone:  

Address:                   E-Mail   

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I am interested in:

  Furnace Fireplace
  Air Conditioner Duct Cleaning
  Humidifier Maintenance Agreement
   Air Cleaner Other


Best time of Day to contact me:

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1. Bel-Aire has serviced my HVAC equipment.

  Yes No  

If your answer to #1 is yes, please continue. If your answer is no, please skip to question 6.


2. Service was scheduled:

  Very Promptly Too far in the future  
  With Adequate Promptness Rescheduled  


3. The work that was performed was:

  Excellent Fair  
  Good Poor  


4. I have a Planned Service Agreement:

  Yes No  


5. I would recommend Bel-Aire to others for Service Work:

  Yes No  


6. I have had Bel-Aire equipment installed in my home.

  Yes No  


7. Equipment that Bel-Aire has installed (check all that apply):

  Furnace Air Cleaner
  Air Conditioner Fireplace
  Humidifier Other


8. Installation was scheduled:

  Very Promptly Too far in the future  
  With Adequate Promptness Rescheduled  


9. The work that was performed was:

  Excellent Fair  
  Good Poor  


10. I would recommend Bel-Aire to others for Installation Work:

  Yes No  



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12) Please share any comments with us.


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