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Order Form for Credit Cards

Please print and completely fill out the order form.  Mailing address: 1080 N Barnstead Rd, Ctr Barnstead, NH, 03225

 

Name_______________________________Address _______________________________

ID# ________________________________ Tel____________________________________

A) Hot water model HW+  $183.50  _____ Number units     Total Price _________

B) Hot air model FA  $233.00          _____  Number units   Total Price _________

      (Extra sensor is needed for HW+ model if your hot water boiler is tankless.)

C) Extra Sensors for HW+ $20.00 _____  # of sensors needed  Total Price _________

D) Shipping Unit         $10.00 each unit -  Number units    ______      Total Price _________

E) Shipping Sensors        $5.00 1-2  Number sensors ______      Total Price _________

  ------------------------------->     Total Cost of A-E:     _____________________________

I,(Print) __________________________, have read and accept the return policy.

Signature _________________________

Must be an active member to participate in this promotion!

Credit Card Information:
Please feel free to call with your CC# if you prefer. Signature here is required to place order.

Credit Card Number: ________________________________________________________

Name as seen on card: ______________________________________________________

Expiration Date: _________  Billing Address: ______________________________________

After installation, neither the IntelliCon-HW+ or the IntelliCon-FA require any maintenance or seasonal programming.

BE SURE THE UNIT IS COMPATIBLE WITH YOUR FURNACE - OTEA DOES NOT REFUND OR ACCEPT RETURNS.  Call for refunds if needed at 866-216-0777