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3/12/2010
On Line Services Request Form
Customer #:
Customer Name:
User Name:
Email Address:
Fax Number:
Services Requested
(Please check off all services you would like.)
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I would like to set up multiple users with separate access codes, please contact me
US Airconditioning Distributors
16900 Chestnut Street City of Industry CA
91748
Ph: 800-937-7222 Fax: 626-854-4550 Email:
info@us-ac.com