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Please print and completely fill out the order
form. Make payments out to Our Town Energy Alliance, Address: 1080 N Barnstead Rd, Ctr Barnstead, NH, 03225
Name_______________________________Address
_______________________________
ID# ________________________________ Tel____________________________________
A) Hot water
model HW+ $177.50 _____ Number units needed Total Price
_________
B) Hot air
model FA $226.00 _____
Number units needed Total Price _________
(Extra sensor
is needed for HW+ model if your hot water boiler is tankless.)
C) Extra Sensors for HW+ $19.50 _____ # of sensors needed
Total Price
_________
D)Shipping Units
$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!
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
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