Central Carolina Air Conditioning is pleased to handle your complete heating, air conditioning and Plumbing needs. Thank You!
1.
Enter your Full Name:
2.
Enter your Email Address:
3.
Your Home Telephone:
4.
Street Address:
5.
City/State:
,
NC
6.
Zip/Postal Code:
7.
Best time to Reach You:
Please Choose One
Anytime
8:00am - 10:00am
10:00am - 12:00pm
12:00pm - 2:00pm
2:00pm - 4:00pm
4:00pm - 6:00pm
6:00pm - 8:00pm
8.
Best Day to Reach You:
Please Choose One
Monday's
Tuesday's
Wednesday's
Thursday's
Friday's
10.
Customer Type:
Please Choose One
New Customer
Service Contract Customer
Comfort Plus Customer
Past/Existing Customer
Not Sure
12.
Service Type:
Please Choose One
Accessory
Plumbing Maintenance
Plumbing Repair
Preventive Maintenance
System Quote
Repair - Service
Renewal and Maintenance
Other
13.
Contract:
Yes. I have a contract
No. I do not have a contract
I would like to discuss
Not Sure
Please Choose One
14.
# of Thermostats:
Please Choose One
1
2
3
4
5 or more
15.
How old is existing equipment?
Please Choose One
Less than 5 years old
5- 10 years old
10-15 years old
16-20 years old
Over 20 Years old
16.
Any Problems:
Yes
No
17.
Please provide us with any additional information and specific details on how we can further assist your needs:
18.
SCHEDULING REQUEST:
Please note that we will make every effort to honor the exact day you choose, however we may have to schedule an alternate date with you.
Day
ASAP
Mon
Tue
Wed
Thu
Fri
Any
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day-Date
Any
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
View a calendar
19.
PRICING INFORMATION
Pricing will vary depending on the service type and the type of customer you are.
To view a standard price list click here
. Note that the price information may change without notice. We will quote you fully before any service is done.
I understand the pricing terms.
Select to Agree to Price Terms
I agree