Preventative Maintenance Form

Sign Up for a Generator Service Agreement

Fill out the form to sign up to our service
Name*

First NameLast Name
E-mail
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Site Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Mobile Phone

Area CodePhone Number
May we send information about us to the mailing address that you provided?*

YesNo
Generator size *
example (14KW)
GENERATOR BRAND*
Model #
Seria #
PICK A PLAN *

1 YEAR (1 VISIT) PREVENTATIVE MAINTENANCE PLAN: $295.00 per year3 YEAR (1 VISIT)PREVENTATIVE MAINTENANCE PLAN: $285.00 per year5 YEAR (1 VISIT) PREVENTATIVE MAINTENANCE PLAN: $270.00 per year1 YEAR (2 VISIT) PREVENTATIVE MAINTENANCE PLAN:$420.00 per year($210.00 per visit)3 YEAR (2 VISIT) PREVENTATIVE MAINTENANCE PLAN:$410.00 per year($205.00 per visit)5 YEAR (2 VISIT) PREVENTATIVE MAINTENANCE PLAN:$395.00 per year($197.50 per visit)
AUTO RENEW?

YES Auto Renew My Contract
Battery Replacement ($105.75 per battery during service visit )

YES, Keep my unit operational with a new battery every 3 years (Recommended)
Comments or Questions?
Only basic maintance described is covered under the maintance contract. If additional work is required it will be at an additional charge and quoted to customer before being performed.

Sales Tax will be added to the plan you choose. EX: $295.00 + 23.60(8%)= $318.60
Signature*

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Sign Up for a Generator Service Agreement