CoolSentry Enrollment Form for Homeowners

*Required fields in red

Yes! Enroll me in CoolSentry for FREE, so I can receive $100 this year.
I have read and accepted the Participation Agreement*

If applicable, please tell us who referred you to join CoolSentry:
Tell us how you heard of CoolSentry:*
Personal Information:
Your personal information will be kept confidential.
*First Name
 *Last Name
*Service Address 1
 Service Address 2
*City
 *State
*Zip
*E-mail
Contact me via (Check all that apply):
E-mail
Day phone
Evening phone
Cell phone
How many electric central air conditioners do you have at this location?

1 2 3 more
Is your outdoor A/C unit located on the roof or ground?

Ground Roof
If your central A/C unit is not easily accessible, or if you prefer an appointment, then check the box below.

Please contact me to schedule an appointment.