Skip to main content
facebook
linkedin
google-plus
instagram
Promotions
About
News & Blog
FAQs
Hit enter to search or ESC to close
Close Search
226 741 0054
Menu
Heating
FURNACES
Furnace Repair
Furnace Installation
Furnace Replacement
Ductwork Installation
Emergency HVAC Repair
PRODUCTS
Forced Air Furnaces
Gas Fireplaces
Pool Heaters
Cooling
AIR CONDITIONING
Air Conditioner Repair
Air Conditioner Installation
Air Conditioner Replacement
Ductless AC Installation
Emergency HVAC Repair
PRODUCTS
Air Conditioning Units
Ductless Air Conditioning Units
Plumbing
–
Plumbing Repair
Water Lines
Drain Cleaning
Kitchen & Bath
–
Sump Pumps
Frozen Pipes
Leaking Pipes
Products
–
Forced Air Furnaces
Air Conditioning Units
Ductless Air Conditioning Units
Heat Pumps
Boilers
Thermostats
–
Gas Fireplaces
ERV/HRV Units
Pool Heaters
Humidifiers
Lennox Products
Armstrong Products
Commercial
BOILER SERVICES
Boiler Repair
Boiler Installation
Boiler Replacement
ROOFTOP SERVICES
Rooftop HVAC Repair
Rooftop HVAC Installation
Rooftop HVAC Replacement
REFRIGERATION
Refrigeration Repair
Refrigeration Installation
Refrigeration Replacement
226-741-0054
Heating
FURNACES
Furnace Repair
Furnace Installation
Furnace Replacement
Ductwork Installation
Emergency HVAC Repair
PRODUCTS
Forced Air Furnaces
Gas Fireplaces
Pool Heaters
Cooling
AIR CONDITIONING
Air Conditioner Repair
Air Conditioner Installation
Air Conditioner Replacement
Ductless AC Installation
Emergency HVAC Repair
PRODUCTS
Air Conditioning Units
Ductless Air Conditioning Units
Plumbing
–
Plumbing Repair
Water Lines
Drain Cleaning
Kitchen & Bath
–
Sump Pumps
Frozen Pipes
Leaking Pipes
Products
–
Forced Air Furnaces
Air Conditioning Units
Ductless Air Conditioning Units
Heat Pumps
Boilers
Thermostats
–
Gas Fireplaces
ERV/HRV Units
Pool Heaters
Humidifiers
Lennox Products
Armstrong Products
Commercial
BOILER SERVICES
Boiler Repair
Boiler Installation
Boiler Replacement
ROOFTOP SERVICES
Rooftop HVAC Repair
Rooftop HVAC Installation
Rooftop HVAC Replacement
REFRIGERATION
Refrigeration Repair
Refrigeration Installation
Refrigeration Replacement
226-741-0054
Sales Form
CONTACT
Full Name
(Required)
Address
(Required)
City
Province
Postal Code
Email
Financing Approval #
Home Phone (#)
Cell Phone (#)
Work Phone (#)
Date
MM slash DD slash YYYY
Comfort Advisor
Requested Install Date
MM slash DD slash YYYY
PRODUCTS OR SERVICES
Qty.
Product #
Description
Cost
Qty.
Product #
Description
Cost
Qty.
Product #
Description
Cost
Qty.
Product #
Description
Cost
Qty.
Product #
Description
Cost
Qty.
Product #
Description
Cost
Qty.
Product #
Description
Cost
WARRANTIES
Years Parts
Years Heat Exchanger
Years Labour
Years Compressor
SUBTOTAL
CALCULATED SUBTOTAL
HST
CALCULATED HST
LESS DEPOSIT
TOTAL OWING ON INSTALLATION
CALCULATED TOTAL OWING ON INSTALLATION
hidden
Thermostats, Humidifiers and Condensate Pumps —
Years Parts & Labour Warranty
hidden
*Labour warranty protection requires annual service of equipment.
PAYMENT
Payment
Cheque
Cash
M/C
Visa
Cheque Number (#)
Name of Cheque/Card Holder
Card Number
Amount
Expiry Date
SPECIAL NOTES REQUIRED FOR INSTALLATION
Special Notes
BUYER’S ACCEPTANCE
Consent
(Required)
I have read the
Terms and Conditions
and agree to purchase the above mentioned equipment from Orzech Heating and Cooling, a div. of Perfect Temp Inc. I agree to pay upon presentation of an invoice after installation is completed.
(Required)
Customer Signature
Orzech Acceptance Signature
×
