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OSI Comfort audit
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Please use this convenient form to request service for your heating or cooling equipment, or you can call us at 1-516-763-1400. We will contact you to confirm the day and time of your service.

IMPORTANT: If you are experiencing a heat emergency, please do not use this form. Instead, call our office immediately at (516) 763-1400 or (718) 634-8447.


* = Required Field


Please fill out the following contact information:
* Name:
(First, MI, Last)
Mr.   Ms.   Mrs.

OSI Account Number:

* Address:
(City, State, ZIP)


* Phone:
() -
Work:
() -
Cell:
() -
* Email:

Best Time to Call:

[ Or, please respond via E-mail. ]

Service Requested:

 Repair (Non-Emergency)
 Tune-up (Preventive maintenance)
 Air Conditioning Checkup
 Equipment Upgrade Estimate
 Tank Removal/Replacement Estimate
 Water Purification
 Energy Use Assessment
 Conservation Advice
 Solar
 Geothermal
 Other

Please describe the type of service needed:


I am currently enrolled in a Service Plan with OSI or Comfort Specialists:
 Yes       No

 

How did you hear about OSI?

Internet search
Jewish Times
Jewish Star
North Shore Today
Long Island Press
Long Island Railroad
House Warmer newsletter
News12.com
NassauHeating.com
MLSLI.com
News 12
News 12 Traffic & Weather
Newspaper
Word of mouth
Other: (please explain)

 
Please correctly type in the following phrase to verify:
Please type c.o.m.f.o.r.t. without the periods in the box to the right.


 
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