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Name	Quantity
Coleman LX Series Premium Furnace + A/C Combo
Coleman LX Series TM9V Gas Furnace
Coleman Echelon™ Series CP9C Gas Furnace
Coleman LX Series TC3 Split System Air Conditioner
Coleman LX Series Basic Furnace + A/C Combo
Coleman LX Series TM9Y Two-Stage Furnace

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Address information

First name*

Last name*

Address*

City*

Postal Code

Phone*

Number of Floors

Square Footage of Home

Existing Furnace Model#

Existing A/C Unit?

yes no

Existing A/C Unit Make & Model#

Use Existing Thermostat if Possilbe?

yes no

Model# Brand of Preferred Thermostat

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