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Q-Team Facebook
Naples Maine Tree Removal Service

Wood Pellet Intake Form

Date:

Customer Name:

Are you a potential new customer (Of Heutz/Q-Team Pellets) entering new profile info? ..or a current/returning customer updating your profile info?
NewUpdating

Primary phone number:

HomeMobileWorkOther

Secondary phone number(s):

HomeMobileWorkOther

Primary email:

Mailing address:

Delivery street address (If different from mailing) plus directions/description of house:

Please tell us a little about your heating history:

Current Furnace/Boiler/Stove Make & Model:

Do you use pellet heat for your summer domestic hot water?

YesNo

Effective pellet storage-bin size (How many pounds or tons capacity?):

Location of pellet storage-bin, and bin access instructions:

Do you have wi-fi at your property?

YesNo

Payment method: 1. Charge to Credit/Debit Card on File (CCF), or 2. Payment on Delivery (POD). Note: CCF customers will be given a $5 per ton discount for convenience - see Bulk Pellet Pricing page:

CCFPOD

You may give us your card info over the phone, or any other method you prefer.

Additional Comments:



IMPORTANT: Once you submit this form, please navigate to the Bulk Wood Pellet Pricing page to calculate your per-ton pellet pricing.. or simply Click Here

Thank you!

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