Be Cool America Insulation Form

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Email *

Name of Representative *

Company of Representative *

Homeowner's Information

Homeowner's Name (First & Last) *

Homeowner's Address (Street, City, Zip) *

Homeowner's Phone Number *

Homeowner's Email Address *

Square Footage of Home (Please make note if your home is a two story home, has an attached garage, etc.) *

Who is paying for the service? *

Homeowner

Financing

Other:

When does the job need to be done? *

Service Options (Select all that apply) *

R40 Insulation: Top off existing insulation with R40 (14” fiberglass)

Air Seal: Seal air leaks on attic floor and duct work

Radiant Barrier: Reflective aluminum heat shield lowers attic temperature up to 30 degrees in the Summer

Solar Attic Fan: Reduces latent heat in attic by 10-30 degrees

Spray Foam: Seals home envelope and creates semi-conditioned attic

Insulation Removal: Remove insulation due to spray foam prep or pest infestation

Replace Duct Work: Replace old duct work with new duct work

Required

Once you submit this form, a representative will reach out to you for scheduling.

A copy of your responses will be emailed to the address you provided.

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