Schedule your heating or air conditioning energy saving preventative maintenance check using this form.

Scheduling

Thank you for choosing our company to take care of your home comfort needs!

Please note, however, that this form is for requesting routine service only. If you have an emergency, please call our office number (24/7) and speak to a live person who will help you immediately.

	Maintenance checks can be scheduled up to 6 months in advance.
	In order to provide the fastest emergency service possible, please request maintenance checks 4-8 weeks in advance.
	Order will be confirmed before work begins.
	Please supply the information requested below; bold fields are required.

Name

Key or Realtor

Service Address

Property is

City, State & Zip

Tenants Name

Contact Phone

Alternate Phone

E-Mail

Spare Filter Located

Service Needed

New HVAC Agreement
New Plumbing Agreement
New Water Heater Agreement
New Winterization Agreement
HVAC Maintenance Check
Other, Please Describe Below

Preferred Contact

Phone Email

As of June 30th, we are scheduling maintenance

checks beginning the week of August 24th*.

Preferred Arrival

8-12 12-4

Premium Members

8-12 12-4 2-6

Preferred Date/Day

(after 8/24)

*Yes, I would like to be put on a waiting list for an appointment earlier than the current scheduling.

We will call you at the contact number above if an earlier appointment becomes available, possibly the same day.

Please send as my technician. If he is unavailable on the day of my maintenance check, I ...

want to reschedule
do not want to reschedule

Please call me at the above contact number when the technician is on his way.

Other Comments

Image Verification
	Please enter the text from the image: [ Refresh Image ] [ What's This? ]

Confirmation

I understand that I will receive a phone call or an e-mail to confirm my appointment within 2 business days. If I do not receive confirmation, I understand that my appointment has not been scheduled.

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Custom Mechanical, Inc.

Parts & Supplies

Custom Sheet Metal

P.O. Box 1479, Bethany Beach, DE 19930

(302) 539-5177 & (800) 233-5177 · Fax (302) 537-5191

Office Hours 8:00-7:00 M-F, Saturdays in Season

Emergency service available 24 hours a day!

34799 Daisey Road, Frankford

Phone (302) 537-1150

Fax (302) 539-9106

7:30-4:30 M-F & Sat. in Season

34799 Daisey Road, Frankford

Phone (302) 537-5611

Toll Free (877) 537-5611

Open 7:00-3:30 M-F

Licensed and insured: HVAC DE #HM-0000111, HVAC MD #01-5841, Plumbing DE #00653, Plumbing MD #71211, Electrical DE #T1-0004050, Electrical MD #11823 & Worcester County #M1043