(352) 243-7099
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236 Hatteras Ave. Clermont, FL 34711
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WH Quote
Water Heater Sell Sheet
Fill this out for system replacements.
List
*
Job Number
Customer Name
Property Address
System Type
*
Pick one
Natural Gas
Electric
Tankless
Heat Pump / Hybrid
List
*
Manufacturer
Model Number
Serial Number
Water Heater Location
*
Garage on the ground
Garage on a wooden platform
Interior closet
Only choose one
How many gallons?
*
Pick one
30
40
50
65
80
100
not sure
On the label it should tell you how many gallons your tank water heater holds.
When replacing, do you want the same type of unit?
Choose one
Yes
No
Different type of unit
I'd like a larger size
I'd like a smaller size
I'd like a high efficiency unit
I'd like a tankless water heater
I'm really not sure
Breaker Type
*
Choose One
Siemens
Square D QO
Square D Homeline
GE Slimline
GE (regular)
Cutler Hammer Black
Cutler Hammer Brown
Westinghouse
Other
Breaker Sizes
*
Heater Breaker
Wire Size
Time Frame
*
Choose One
Immediately (current unit is operational)
First Date Available
Flexible (best pricing available)
Just Curious
Email
*
Additional Notes
A worm a day
*
Keeps the Apple™ away