Contact Information:

Ralph Balltrip
Lexington, KY

Phone:
(859) 299-2267

Cell Phone:
(859) 576-7621

E-Mail:
kentuckywoodheat@aol.com


Kentucky Wood Heat Estimate Form


Salutation:

Address:

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First Name: *

City:

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State:*

Last Name: *

Zip Code:

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Day Phone:

Evening Phone:

Email: *

Approximate size in square feet of home to be heated:

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

  

Is your Home new or existing:

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If an existing home, how is it heated now:

  

If an existing home, is it air conditioned:

  

Is your home or building insulated:

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

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

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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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