Nationwide: 1 800 741 9956

Florida (954) 839-6215 New England (617) 273-2400 Washington (360) 243-9560
  California (213) 291-9276  

 


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CLIMATEMASTER FAX ORDER FORM

(954) 815 4208

Please fill out and print this form.  Then fax it to us  @ (954) 815 4208 

You can always call us too.

After receiving your order, we will immediately ship your heat pump and then fax, e-mail or call you with confirmation.

Personal Information: 

First Name:
Last Name:

Home Address:
City:
State:
Zip Code:
Shipping Address:
City:
State:
Zip Code:
Home Phone:
Work Phone
Cell Phone
Fax:
E-mail:
Shipping charges are lower if you pick up your heat pump at a truck terminal near your city. Please note that if you choose to have your unit delivered to your home. It will be delivered with a proper truck, with a lift gate that will lower the heater to the ground. 

Use the chart below to quote your shipping charges:

Home delivery rates include a proper truck that lowers the heat pump to the ground. We still should be the lowest price including proper shipping. If not please us know. If the shipping to the West coast is too much; we have great rates to terminals in: Seattle, Portland, Sacramento, San Francisco, Los Angeles, San Diego, Las Vegas, Salt Lake, and Phoenix. Ask us.

West Pacific.................$228.00

West Mountain.............$198.00 

West North Central......$178.00

East North Central........$168.00

West South Central.......$168.00

 

Florida (Home or Terminal).....$68.00

East South Central..................$168.00

South Atlantic.........................$118.00

North East Middle Atlantic.....$138.00

New England.........................$148.00

 

Delivery to a truck terminal near you is $50.00 less of  the home delivery rate

Please select the delivery of your choice:
I want this unit delivered   to my home. I want this unit delivered to a trucking terminal near my home. (deduct $50.00 from your home delivery rate)

.Please fill in the model number of your choice. You can include any comments or special instructions.

Method of payment: Choose the type of credit card that you will like to use for your purchase

Visa MasterCard Discover
Cardholder's Name:
Credit Card's Billing Address (if different from home address):
City and State:
Zip Code:
Credit Card Number
Expiration Date: (mm/yy)
For your protection please add the three digits of your Security Code that appear on the back of your credit card as illustrated on the picture below:

 Heat Pump Unit Price
Shipping Charges
Florida residents please add 6% state tax
Total

Order Confirmation: Please fill out and sign.

I,    authorize Pool Heat Pumps .Com to charge my credit card in the amount of for (heat pump model #)

Credit card holder please sign printed form: _______________________________________

Date:__________________

.

THANK YOU FOR YOUR ORDER