Falls Heating and Cooling

Are you in need of air conditioning or heating service? Please fill out the form below and a Falls Heating and Cooling representative will
contact you to set up an appointment within 24 hours.

For immediate service or if this is an
emergency call 330-929-8777

About Yourself
Your Name:
Company Name:
Address:
City:
State:
Zip:
Home Phone:
Day Phone:
Email Address:

About Your System
Do you Have a central air problem?		Yes No
Do you have a problem with central heat?		Yes No
What brand name is your system?
Do you have a heat pump?		Yes No
Have you checked your fuses & breakers?		Yes No
Has your system been serviced in the past 12 months?		Yes No
Do you have a service preventative maintenance agreement?		Yes No
Would you like information on annual contracts benefits?		Yes No
Have you used Falls Heating & Cooling in the past?		Yes No
Is your situation an emergency?		Yes No
Do you have a service contract?		Yes No

Where did you hear about Falls Heating and Cooling?
Yellow Pages	Radio Ad	Newspaper
Referral	Search Engine
Other:

Please enter the time desired for your service:
Date:
Time:

SALES � SERVICE � INSTALLATION

	"I write to thank you for the manner in which you addressed the installation of our new HVAC system. The test of a good sales representative lies in the quality of his product and in how his company addresses any needed follow-up work. On both counts, I give you and your company excellent marks. There was much attention to detail, unlimited effort to correct the system's initial deficiencies and, throughout it all, an exemplary professional attitude on your part..."
	-William R. Green


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