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BFS Home Warranty - Deluxe 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
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:

Deluxe Plan includes the following :
2 AC Units Dishwasher Water Heater Tune-Up No Deductible Option
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
Choose Deluxe 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 Additional Pump & Motor
  No Deductible Option - Unlimited Service Calls INCLUDED!
  Extended Plumbing
  Each Additional Air Conditioner
  Each Additional Water Heater
  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 -
Nevada A/C 0040504, 0081113 Nevada Water Heater 0046467 Nevada Plumbing 0081114
Texas Plumbing M-38591 Texas A/C TACLB20853E, TACLB33262E, TACLB32884E, TACLB50208E
Arizona A/C 280095,279402 Arizona Plumbing 289307
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