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BFS Home Warranty - Basic Package
Property / Buyer information
Covered Property Street address*

Street 2:

Apt/Unit #

City:*

State:*

Zip Code:*

Phone:

Buyer`s Information
Buyer`s Name*

Send confirmation to:*

enter valid email address
Billing address:*

Street 2:

City:*

State:*

Zip Code:*

Agent`s Information
Agents Name

Phone:

Fax

Real Estate Company

Agents Email address

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Closing Company
Closing Company

Closing Date

Closing Agent

Closing Agents Email address

Phone:

Fax:

Basic Plan includes the following :
2 AC Units Dishwasher Water Heater Tune-Up
Standard SEER A/C Coverage Garbage Disposal Plumbing Unknown Pre-existing Condition
Heating Oven/Range Electrical Freon Recovery
Trash Compactor Microwave(Built-in) Circuit Boards Equipment Haul Away
Note: Basic coverage plan requires a $55.00 ( deductible) service fee.
Choose Basic Package*
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Additional Options - available for any package
  Refrigerator with Ice Maker Dispenser
  Second Refrigerator
  Freezer
  Standard Washer/Dryer
  Front Loading Washer/Dryer
  Double Oven
  Water Softener
  Garage Door Opener
  Stoppage Coverage
  Pool or Spa (with shared equipment)
  Additional Pool OR Spa Pump & Motor
  No Deductible Option - Unlimited Number of Service Calls
  Extended Plumbing
  Each additional Air Conditioner
  Each Additional Water Heater
  Each Additional Dishwasher
Coverage Total
For Credit Card Payment Please Complete the Following:
or mail your check to :
BFS Home Warranty , 3500 N. 28th Terrace, Hollywood, FL 33020-1104

Call: 1-800-237-9910 or Fax: 1-888-237-3600
Name on Credit Card

Card Brand

Card Number:

Expiration Month

Expiration Year:

CVV2:

Phone #

How did you hear about us?
Realtor Mailer Internet Friend/Neighbor 

Comments:

Confirmation #:

A/C CA-C056774 Florida - Plumbing CF-C056867 Florida - A/C CA-C057400
Florida -Electrical ES-0000336 Florida - A/C CA-C056778 Florida - A/C 0040504 Nevada Water Heater 0046467
Nevada - A/C TACLB020853E Texas-Texas Plumbing M-38591
Arizona A/C ROC279402–Arizona Plumbing ROC289307
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