Phoenix Air Conditioning :: Cactus Mechanical :: Phoenix Metro Air Conditioning

Cactus Mechanical, Inc.
2038 W. Ironwood Drive
Phoenix, AZ 85021-1919

Office:

602 866-1200

Fax:

602 216-9676

Commercial License:	ROC-79638
Residential License:	ROC-78838

Maintenance Agreement Quote Request

All fields marked with a

MUST be filled out to properly process your request.

INFORMATION FOR SERVICE

Date

Full Name

Address

City

State

Zip

Email Address

Phone Number

Fax Number

What kind of account are you?

If residential please skip the rest of this form and click on submit.

Do you currently have a service and maintenance contract?
Yes No

Approximately how old is your equipment?

WHAT EQUIPMENT WOULD YOU LIKE COVERED?

Cooling

Heating

Ventilation

LIST YOUR EQUIPMENT HERE:

Qty.	Make	Model No.	Serial No.	Ton/BTU	Year Installed	Equipment Type

AGREEMENTS OPTION:

Include Emergency Service Labor: Yes No

Include Preventative Maintenance Inspections.
Yes No

Parts to be Included under agreement:

The indicates required fields.