< back OWNER INFO   Owner’s Name Corporation Name (if applicable) Owner’s mailing address City State Zip Owner’s Phone # Owner’s Fax # Owner’s Email address     SERVICE LOCATION INFO   Service address City State Zip # of families # of stories Superintendent Name and phone number     Boiler Make and model Burner Make and Model Hot Water Coil in Boiler Yes No Hot Water Heater make and model     Fuel Usage Natural Gas #2 Oil #4 Oil #6 Oil Electric Combination Oil/Gas Solar     ADDITIONAL INFO   Prior Service Company Why are you switching Service Company Additional Remarks:     (c) 2008 New York Heating Corp. All rights reserved.