Harker Heating & Cooling - Commercial Account Set Up
This is a form to gather all of the pertinent information regarding your commercial account with us.
Sign in to Google to save your progress. Learn more
Email *
Legal Business Name *
DUNS #
Billing Address *
Billing Contact Name: *
Billing Contact Email Address: *
Billing Contact Telephone: *
Credit Card Information - All Required -  Name, Number, Exp, CVC, Billing Zip:
 - Your application will not be acted upon without this information. *
Site Address: *
Site Hours Open For Business? *
Site Contact Name: *
Site Email Address: *
Site Telephone: *
Are you interested in ways to save money?  We can reach out to you with information on how you can save up to 20% on your billings. *
Type of Equipment Needing Service?  RTU, Boiler, Gas Furnace, Air Conditioning, Ductless Splits?
 *
Location of the Equipment
 *
Terms of Service - All commercial service work is billed out on a time and materials basis.  Our rates are $180/Hour for Labor and $235/Hour for Overtime Labor.  Materials will be charged as used.  There is a 1hr minimum and work is billed out in 30 minute increments after that.  If account becomes in arrears after 30 days, we will charge your credit card to keep your account active.  Late charge/finance fee is 1.5% per month. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Harker Heating & Cooling, Inc..

Does this form look suspicious? Report

Google Forms