TANKLESS WATER HEATER ORDER FORM 

YOU WILL BE PLACED ON THE LIST FOR THE NEXT INSTALLATION SEQUENCE

TO BE ANNOUNCED WHEN THERE ARE ENOUGH PARTICIPANTS

YES, I am interested in obtaining a tankless water heater under the terms as presented to me. By submission of this form I agree to the purchase price being added to my next HOA billing notice.  This offer is only good if 20 or more homeowners agree.

Note: Condo owners may opt for the higher capacity 80 amp unit if they so desire.  

IF YOU OWN MORE THAN ONE UNIT, PLEASE SUBMIT SEPARATE FORMS FOR EACH INSTALLATION REQUESTED!

* Required fields
Name *
E-mail Address *
Condo or Villa No. *
Contact Phone No. *
Select Unit of Choice *	1 - 2 BATHS MODEL: DCH - E12 Net Price $239. 3 - 4 BATHS MODEL: TEMPRA 20 plus Net Price $775

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