Service Request Form

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

About You

  
Contact Name: *
Company:
Address:
City, State Zip:
Phone: *
Fax:
E-Mail: *

About Your System

    
Do you have a problem with your air conditioner? Yes No
Do you have a problem with your heating system or furnace? Yes No
What brand name is your system?
Is your system a heat pump? Yes No
Have you checked your fuses & breakers? Yes No
Has your system been serviced in the past year? Yes No
Do you have a service preventative maintenance agreement? Yes No
Have you checked your filter? Yes No
Have you used McNutt Service Group in the past? Yes No
Is this an emergency? Yes No
Do you have a service contract? Yes No
Where did you hear about McNutt Service Group?
Real Yellow Pages Other
Referral Service Vehicle
Bellsouth Internet MSN
Yahoo Google
Manufacturer recommended Magazine Ad
Television Commercial  

Please enter the time desired for your service:
1st Date: Time:
2nd Date: Time:

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Ph: 828-693-0933 · Fax: 828-209-4436