Kentucky Wood Heat Estimate Form

Salutation:

Address:

*
First Name: *

City:

*

State:*
Last Name: *

Zip Code:

*
Day Phone:

Evening Phone:

Email: *
Approximate size in square feet of home to be heated:

*
If you plan to heat additional buildings add square footage here:

  
Is your Home new or existing:

*
If an existing home, how is it heated now:

  
If an existing home, is it air conditioned:

  
Is your home or building insulated:

*
Do you wish to heat domestic water with the outdoor furnace:

*
How many feet from your home or building do you want to install the outdoor furnace:

*
Do you plan to install the furnace yourself:

*
If not, do you want complete or partial installation from us:

  
Please include any additional information below:
Security Question:What is 7 + 5?

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* - Required field
Contact Information:

Ralph Balltrip
237 Swigert Ave
Lexington, KY 40505

Phone:
(859) 299-2267
Cell Phone:
(859) 576-7621
E-Mail:
kentuckywoodheat@aol.com

Last Updated on 2/10/2010
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