Shaull Happy Home Club
CUSTOMER INFORMATION
SYSTEM / ACCESSORIES COVERED UNDER THIS PLAN (Shaull to Complete)
Equipment LocationBrandMfg. DateModel #Serial #
VISITS / PRICING

Choice of Tune-Ups (select one)

Select Types of Tune-Ups

Benefits you receive:
• 10% Discount on Repairs • No Extra Fees for Emergencies
• Front-of-the-Line Priority Service • No Diagnostic Fee
• Earn $100 in Hiller Credit for each year of membership*

Payment Options

$
$

How would you like to pay?

Your card or bank information is never stored on this form.
A Shaull representative will contact you shortly after submission to complete secure payment setup.
IMPORTANT TERMS & CONDITIONS All visits must be used within the term of the membership; visits may not be redeemed past the membership expiration date. Visits are not guaranteed; Shaull will periodically remind clients to schedule visits, but customers are ultimately responsible for scheduling visits. Shaull Credit has no cash value and may only be used toward the purchase of HVAC Replacement Units, Repairs, Water Heaters, Generators or Electrical Panels. Shaull Credit is not transferable and any balance will be forfeited if not used upon termination of HVAC membership. Refunds will be pro-rated on memberships; customers will not receive refunds for cancelling service or not using visits before membership expires. Upon cancellation, any funds unpaid for services rendered may be due. Membership may be transferred from one owner to another. Membership may also stay with the original owner to another address, however additional fees may apply. I understand the monthly payment option will continue until a written notice of termination is received at the corporate office; allow up to two weeks for termination processing.
Customer's Acceptance
Shaull's Acceptance
Shaull representative will sign here