Comfort Care Club Please enable JavaScript in your browser to complete this form.Selected Agreement Term:Monthly ($17/Unit/Month)1 Year ($182/unit/year)2 Year ($356/unit/2years) Agreement Prepared For:Name *FirstLastPhone *Email *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code Rental Property Information:Name *FirstLastPhone *Email *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code A/C Information:Brand / MakeTraneAmerican StandardBryantCarrierGoodmanHeilLennoxRheemRuudYorkOtherSystem Age20252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970Older than 1970Model No.Serial No.Filter 10x20x112x12x112x20x112x24x112x30x112x36x114x20x114x24x114x25x114x30x115x20x116x20x116x24x116x25x118x18x118x20x118x24x118x25x118x30x120x20x120x24x120x25x120x30x124x24x125x25x1HumidifierYesNo Additional A/C Information:Brand / MakeTraneAmerican StandardBryantCarrierGoodmanHeilLennoxRheemRuudYorkOtherSystem Age20252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970Older than 1970Model No.Serial No.Filter10x20x112x12x112x20x112x24x112x30x112x36x114x20x114x24x114x25x114x30x115x20x116x20x116x24x116x25x118x18x118x20x118x24x118x25x118x30x120x20x120x24x120x25x120x30x124x24x125x25x1HumidifierYesNo Furnace Information:Brand / MakeTraneAmerican StandardBryantCarrierGoodmanHeilLennoxRheemRuudYorkOtherSystem Age20252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970Older than 1970Model No.Serial No.Filter10x20x112x12x112x20x112x24x112x30x112x36x114x20x114x24x114x25x114x30x115x20x116x20x116x24x116x25x118x18x118x20x118x24x118x25x118x30x120x20x120x24x120x25x120x30x124x24x125x25x1HumidifierYesNo Additional Furnace Information:Brand / MakeTraneAmerican StandardBryantCarrierGoodmanHeilLennoxRheemRuudYorkOtherSystem Age20252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970Older than 1970Model No.Serial No.Filter10x20x112x12x112x20x112x24x112x30x112x36x114x20x114x24x114x25x114x30x115x20x116x20x116x24x116x25x118x18x118x20x118x24x118x25x118x30x120x20x120x24x120x25x120x30x124x24x125x25x1HumidifierYesNoMessageSubmit
