Lodging AC Customer Service

Lodging

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		Personal Information

* I am a:

If "Other", please specify:

I am contacting Carrier:
(Select all that apply)

Regarding a product or application
To request product literature
Regarding a product problem or quality issue
To request a sales representative phone me
To comment on this site
Regarding a Room Air Conditioner

*First Name:

*Last Name:

Phone:

Fax:

*Email Address:

Company:

*Street Address:

Street Address 2:

* City:

*Country:

State:

Province:

Zip Code:

E-mail me with new Carrier product or service information.

Contact me by mail with product or service information.

Contact me by phone with product or service information



		Related Product Information: (if applicable)

Product Type

If "Other", please specify:

*Serial Number:

*Model Number:

Install Date:

/ / (mm/dd/yyyy)

Installer Name:

Installer Phone Number:

Servicer Name:

Servicer Phone Number:

Comment or request - Please include service history if applicable: (1000 characters max)


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