Proposal Form 12Customer InformationName First Last Proposal Date Month Day YearPhoneEmail(Required) Address Street Address City State 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 ZIP Code OptionsAir Conditioner / Heat PumpModelSize Add RemoveGas Furnace / Air HandlerModelSize Add RemoveComfort CoilModelSize Add RemoveRegular PriceTrane PromotionPSO Instant DiscountInstalled PriceONG RebateThermostatNotesTotal InvestmentMonthly PaymentNumber of MonthsEfficiencySEERAFUE Add RemoveRegistered WarrantyYrs. CompressorYrs. CoilYrs. Heat ExchangerYrs. PartsYrs. Labor Add RemoveYou Will NeedVenting Partial All newCombustion Air NeededInside Wiring Reconnect Electrician NeededControl Wiring NeededThermostat NeededGas Piping Reconnect Additional pipe neededCondensate Drain Safety Pan needed Condensate PumpPlenum or Transition NeededPad NeededCopper Refrigerant Lines Reconnect All newOutside Electrical Reconnect Electrician neededLabor All Necessary Labor For A Professional InstallationSystem EnhancementsTrane CleanEffects:Air Scrubber Plus:Media Air Cleaner:Whole House HumidifierExtended Warranty:Special Instructions:Acceptance of Proposal I , the customer named below, agree to the following:The prices and specification contained herein are satisfactory and accepted. Seller is authorized to complete this contract as specified and payment in full will be made upon completion. Work stoppages caused by the customer or other contractors will result in partial payment due... amount to be determined by the seller. Lien rights may be exercised if payment in full is not made by the customer upon completion.Customer SignatureDate Month Day YearCompany SignatureDate Month Day YearCAPTCHA
