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Shark HVAC INC.
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Intake form
Help us serve you better
Name
*
Email address
*
Service type
Select
Installation
Repair
Maintenance
Replacement
Type of HVAC system
Select
Central A/C
Heat pump
Furnace
Ductless mini-split
Swamp cooler
Condenser unit
Preferred appointment date
Preferred appointment time
Select
Morning (8 AM - 12 PM)
Afternoon (12 PM - 4 PM)
Evening (4 PM - 7 PM)
Property type
Select
Residential
Commercial
Do you currently have an HVAC system installed?
Select
Yes
No
Is this a new installation or a replacement?
Select
New installation
Replacement
Not applicable
Do you require refrigerant recharge?
Select
Yes
No
Do you have any existing ductwork or venting?
Select
Yes
No
Phone number
Service address
Additional questions or comments
Submit
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